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NPI Code Detail

MEDICARE: MS. ANGEL MARIE SMITH APRN, WHNP-BC

MEDICARE: MS. ANGEL MARIE SMITH APRN, WHNP-BC
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
1363LW0102XWomen's Health Nurse PractitionerAP106859TX

General Provider Information

NPI Number : 1316903453
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ANGEL MARIE SMITH APRN, WHNP-BC
Provider Business Mailing Address
First Line : 1611 MYRTLE DR
Second Line :
City : LITTLE ELM
State : TX
Zip : 75068-6301
Country : US
Telephone Number : 214-402-7922
Fax Number :
Provider Business Practice Location Address
First Line : 14355 MIRANDA WAY
Second Line :
City : LOS ALTOS HILLS
State : CA
Zip : 94022-2032
Country : US
Telephone Number : 888-731-8994
Fax Number : 888-775-1861
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2006
Last Update Date : 09/07/2023

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