Individual
CHRISTA LOUISE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
75 PIGEONROOST RD, CANADA, KY 41519
(606) 353-7748
Mailing address
37 MONTROSE DR, RACCOON, KY 41557-8249
(606) 625-1279
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN79543-FNP-BC
WV
363LF0000X
Family Nurse Practitioner
Primary
3010809
KY
363LF0000X
Family Nurse Practitioner
APRN79543-FNP-BC
WV
Other
Enumeration date
11/08/2016
Last updated
09/04/2024
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