Individual
DANICA LARISSA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10601 N RIVERSIDE DR, FORT WORTH, TX 76244-2118
(817) 347-2600
(817) 347-2670
Mailing address
PO BOX 99213, FORT WORTH, TX 76199-0213
(682) 885-1860
(682) 885-1396
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
AP133024
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
AP133024
TX
Other
Enumeration date
01/26/2017
Last updated
04/13/2021
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