Individual
SUSAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
6883 US HIGHWAY 90 STE 108, DAPHNE, AL 36526-9611
(251) 318-2601
Mailing address
36784 LEGACY WAY, BAY MINETTE, AL 36507-0200
(251) 721-2933
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
1-136348
AL
363LP0200X
Pediatric Nurse Practitioner
Primary
1-136348
AL
Other
Enumeration date
11/03/2019
Last updated
04/24/2026
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