Individual
MRS. TARA COLLEEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.P.
Contact information
Practice address
407 S SCHWARTZ AVE STE 201, FARMINGTON, NM 87401-5925
(505) 609-6730
Mailing address
139 SCARLET TANAGER RD, TROUTMAN, NC 28166-9508
(505) 330-5355
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP-03089
NM
Other
Enumeration date
11/03/2016
Last updated
11/03/2016
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