Individual
COLENE M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8239 MEADOWBRIDGE RD STE A, MECHANICSVILLE, VA 23116-2318
(804) 730-8713
(804) 730-0839
Mailing address
8239 MEADOWBRIDGE RD STE A, MECHANICSVILLE, VA 23116-2318
(804) 730-8713
(804) 730-0839
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
0024176338
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0024176338
—
VA
Enumeration date
07/13/2018
Last updated
07/13/2018
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