Individual
STACI PATRICE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
488 SAINT LUKES DR, MONTGOMERY, AL 36117-7104
(334) 288-7808
(334) 288-8089
Mailing address
201 DEFENSE HWY STE 205, ANNAPOLIS, MD 21401-7096
(855) 527-7246
(866) 229-5063
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-169012
AL
Other
Enumeration date
10/16/2024
Last updated
10/18/2024
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