Individual
MRS. THERESA SHARP SMIGO
Active
Individual
MRS. THERESA SHARP SMIGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, CRNP, CNS, RN-C
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
TP006435C
PA
Other
Enumeration date
11/06/2007
Last updated
03/20/2021
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