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Individual

MELANIE ANNE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2890 W WALNUT ST STE 2, ROGERS, AR 72756-0335
(479) 372-6201
Mailing address
4610 N ASHLAND AVE APT 1N, CHICAGO, IL 60640-5678

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209023105
IL
363LF0000X
Family Nurse Practitioner
Primary
232243
AR

Other

Enumeration date
04/01/2021
Last updated
04/14/2025
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