Individual
MRS. AMY MARIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, APRN, AGNP-C
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-0100
(843) 792-1414
Mailing address
PO BOX 23321, NEW YORK, NY 10087
(843) 876-1344
(843) 876-1347
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
29127
SC
Other
Enumeration date
08/02/2024
Last updated
11/26/2024
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