Individual
ASHLEY NICOEL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C
Contact information
Practice address
2801 ST ANTHONY WAY, PENDLETON, OR 97801-3800
(541) 966-0535
Mailing address
2801 ST ANTHONY WAY, PENDLETON, OR 97801-3800
(541) 966-0535
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
202110446NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202110446NP-PP
OREGON STATE BOARD OF NURSING
OR
Enumeration date
09/23/2021
Last updated
09/23/2021
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