Individual
MRS. CHRISTINE N SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1520 N CHURCH RD STE D, LIBERTY, MO 64068-7176
(972) 661-2273
Mailing address
519 BROOKWOOD LN, RAYMORE, MO 64083-9404
(816) 809-5429
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2007023155
MO
Other
Enumeration date
12/14/2020
Last updated
11/19/2021
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