Individual
ANDREA LYNN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12169 OAK GROVE DR, TYLER, TX 75706-5951
(618) 204-3328
Mailing address
12169 OAK GROVE DR, TYLER, TX 75706-5951
(618) 204-3328
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
907763
TX
Other
Enumeration date
10/27/2021
Last updated
10/27/2021
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