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Individual

ANDREA LYNN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-CNP

Contact information

Practice address
11220 N ROCKWELL AVE, OKLAHOMA CITY, OK 73162-2725
(405) 632-6688
Mailing address
3000 N GRAND BLVD, OKLAHOMA CITY, OK 73107-1818
(405) 632-6688

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
83271
OK
363LF0000X
Family Nurse Practitioner
Primary
83271
OK

Other

Enumeration date
12/11/2019
Last updated
10/03/2024
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