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Individual

MS. SHANNON LEIGH SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
4075 MONROEVILLE BLVD STE 125, MONROEVILLE, PA 15146-2526
(412) 373-1717
Mailing address
1116 OGLETHORPE AVE, PITTSBURGH, PA 15201-2153
(724) 504-5548

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP024281
PA

Other

Enumeration date
11/24/2021
Last updated
11/24/2021
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