Individual
LEAH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
100 W MCDONALD AVE, MAN, WV 25635-1111
(304) 890-2383
Mailing address
100 W MCDONALD AVE, MAN, WV 25635-1111
(304) 890-2383
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
86233
WV
Other
Enumeration date
04/29/2021
Last updated
04/29/2021
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