Individual
MRS. ANDREA MARIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(870) 672-3275
Mailing address
1002 ASTER DR, NORTH LITTLE ROCK, AR 72117-9761
(870) 672-3275
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
A03497 ANP
AR
Other
Enumeration date
01/18/2012
Last updated
01/18/2012
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