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Individual

CATHERINE PATRICE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1215 PLEASANT ST STE 308, DES MOINES, IA 50309-1409
(515) 241-4325
(515) 241-6138
Mailing address
1215 PLEASANT ST STE 308, DES MOINES, IA 50309-1409
(515) 241-4325
(515) 241-6138

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
H-054530
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1750698833
IA
01
P01146493
RR MEDICARE
IA
Enumeration date
09/09/2010
Last updated
07/21/2022
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