Individual
LAURA BRADBURY SMITH-TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
R052972
ME
163WR0006X
Registered Nurse First Assistant
RN52972
ME
363LF0000X
Family Nurse Practitioner
Primary
CNP81921
ME
363LF0000X
Family Nurse Practitioner
Primary
R052972
ME
Other
Enumeration date
06/10/2008
Last updated
04/08/2026
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