Individual
CAROLYN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, CPNP-AC
Contact information
Practice address
5503 SHOAL CREEK BLVD, AUSTIN, TX 78756-1802
(512) 689-4941
Mailing address
5503 SHOAL CREEK BLVD, AUSTIN, TX 78756-1802
(512) 689-4941
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
776121
TX
363LP0222X
Critical Care Pediatric Nurse Practitioner
20188142
MD
Other
Enumeration date
03/07/2022
Last updated
03/07/2022
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