Individual
MRS. AUTUMN BLAIR SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1011 W BALTIMORE PIKE, SUITE 007, WEST GROVE, PA 19390-9446
(610) 869-0953
(610) 869-5824
Mailing address
1011 W BALTIMORE PIKE, SUITE 007, WEST GROVE, PA 19390-9446
(610) 869-0953
(610) 869-5824
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
LZ0000111
DE
363LA2100X
Acute Care Nurse Practitioner
Primary
SP010920
PA
Other
Enumeration date
05/22/2007
Last updated
02/11/2013
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