Individual
BRIDGETTE SMOOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
173 BROCKMAN PARK DR, AMHERST, VA 24521-2583
(434) 946-2850
Mailing address
PO BOX 8310, ROANOKE, VA 24014-0310
(540) 345-3556
(540) 345-3556
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024180115
VA
363LA2100X
Acute Care Nurse Practitioner
Primary
0024180115
VA
Other
Enumeration date
08/16/2022
Last updated
08/26/2022
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