Individual
EVELYN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
30 PINEHURST LN, STAFFORD, VA 22554-7288
(703) 344-8975
Mailing address
30 PINEHURST LN, STAFFORD, VA 22554-7288
(703) 344-8975
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
VA
363LG0600X
Gerontology Nurse Practitioner
Primary
0024197180
VA
Other
Enumeration date
03/31/2026
Last updated
04/26/2026
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