Individual
AUBREY LYNN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-3542
Mailing address
14228 PINE PERCH ST, CARY, NC 27519-6720
(814) 659-5869
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5014116
NC
363LG0600X
Gerontology Nurse Practitioner
5014116
NC
363LP2300X
Primary Care Nurse Practitioner
5014116
NC
Other
Enumeration date
02/24/2021
Last updated
05/18/2021
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