Individual
STACEY NICOLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
30 HUNTER LN, CAMP HILL, PA 17011-2400
(800) 748-3243
Mailing address
2127 WOODWIND DR, ENCINITAS, CA 92024-6434
(410) 353-0526
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN786992
CA
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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