MEDICARE: HEATHER LYNN SMITH-MERRITHEW

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
1	363LF0000X	Family Nurse Practitioner	AP61150324	WA
2	363LF0000X	Family Nurse Practitioner	AP135391	TX

General Provider Information

NPI Number	:	1497266704
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER LYNN SMITH-MERRITHEW

Provider Business Mailing Address
First Line	:	4800 FREDERICKSBURG RD STE 127
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-3781
Country	:	US
Telephone Number	:	210-468-0800
Fax Number	:	210-733-8649

Provider Business Practice Location Address
First Line	:	4800 FREDERICKSBURG RD STE 127
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229
Country	:	US
Telephone Number	:	210-468-0800
Fax Number	:	210-733-8649

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/14/2017
Last Update Date	:	05/27/2026

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Directions to “ HEATHER LYNN SMITH-MERRITHEW ” Practice Location

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