Individual
STEPHENIE ANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
7419 WATSON RD, SAINT LOUIS, MO 63119-4415
(314) 400-3360
(314) 400-3363
Mailing address
PO BOX 23340, SAINT LOUIS, MO 63156-3340
(314) 851-1000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2022046996
MO
Other
Enumeration date
04/14/2023
Last updated
04/14/2023
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