Individual
SHELLY R SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C,CRNFA
Contact information
Practice address
1327 OKLAHOMA AVE, WOODWARD, OK 73801-4454
(580) 254-2377
(580) 254-2388
Mailing address
PO BOX 95469, GRAPEVINE, TX 76099-9700
(405) 445-1210
(405) 445-3310
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
607045
TX
363L00000X
Nurse Practitioner
Primary
225130
OK
363L00000X
Nurse Practitioner
AP136443
TX
Other
Enumeration date
10/25/2006
Last updated
10/09/2025
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