Individual
DEVON LEA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
400 W 16TH ST, PUEBLO, CO 81003-2745
(719) 214-0005
Mailing address
504 N ESCONDIDO DR, PUEBLO WEST, CO 81007-1033
(719) 214-0005
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0996424-NP
CO
Other
Enumeration date
04/12/2021
Last updated
04/12/2021
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