Individual
LAURA LYNN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
250 S MAIN, LAS CRUCES, NM 88001-5034
(575) 525-8484
(575) 449-2445
Mailing address
9855 E. SOUTHERN AVE, UNIT 50820, MESA, AZ 85208-5034
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
R43507
ND
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R43507
ND
Other
Enumeration date
09/01/2016
Last updated
01/26/2017
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