Individual
MELANIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
1215 E COURT ST, SEGUIN, TX 78155-5129
(830) 379-2411
Mailing address
1215 E COURT ST, SEGUIN, TX 78155-5129
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
1084536
TX
363LG0600X
Gerontology Nurse Practitioner
Primary
1084536
TX
Other
Enumeration date
06/15/2022
Last updated
01/20/2023
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