Individual
VICKI LEE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
66 HOSPITAL PLZ, SUITE 104, WESTON, WV 26452-8595
(304) 269-3108
(304) 517-1570
Mailing address
66 HOSPITAL PLZ, SUITE 104, WESTON, WV 26452-8595
(304) 269-3108
(304) 517-1570
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
132
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7105230000
—
WV
05
—
NP0049
—
AK
Enumeration date
09/06/2006
Last updated
12/11/2015
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