Individual
STEPHANIE ROSE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1631 LOGAN AVE, WATERLOO, IA 50703
(319) 833-5381
Mailing address
PO BOX 2758, WATERLOO, IA 50704-2758
(319) 235-5390
(319) 235-5607
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A133352
IA
Other
Enumeration date
05/30/2017
Last updated
02/04/2022
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