Individual
GINA K SMOOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C, CCM
Contact information
Practice address
5930 HARBOUR PARK DR, MIDLOTHIAN, VA 23112-2169
(804) 893-0337
(689) 202-0711
Mailing address
5930 HARBOUR PARK DR, MIDLOTHIAN, VA 23112-2169
(804) 893-0337
(689) 202-0711
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024184110
VA
Other
Enumeration date
04/11/2022
Last updated
02/15/2025
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