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NPI Code Detail

MEDICARE: KRISTY SMITH APRN PLLC

MEDICARE: KRISTY SMITH APRN PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1364SP0809XAdult Psychiatric/Mental Health Clinical Nurse Specialist

General Provider Information

NPI Number : 1922759760
Entity Type Code : Organization
Provider Name (Legal Business Name) : KRISTY SMITH APRN PLLC
Provider Business Mailing Address
First Line : 9101 ALTA DR UNIT 1205
Second Line :
City : LAS VEGAS
State : NV
Zip : 89145-8541
Country : US
Telephone Number : 702-325-2577
Fax Number : 702-380-3220
Provider Business Practice Location Address
First Line : 5440 W SAHARA AVE STE 202
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-0361
Country : US
Telephone Number : 702-380-8200
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : MRS. KRISTY SMITH
Credential : APRN
Telephone Number : 702-325-2577
Provider Enumeration Date : 01/13/2022
Last Update Date : 01/13/2022

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