MEDICARE: VALERIE SMITH APRN

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	052059-23	NH

General Provider Information

NPI Number	:	1811610926
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VALERIE SMITH APRN

Provider Business Mailing Address
First Line	:	PO BOX 495
Second Line	:
City	:	BARTLETT
State	:	NH
Zip	:	03812-0495
Country	:	US
Telephone Number	:	603-340-3014
Fax Number	:

Provider Business Practice Location Address
First Line	:	1976 WHITE MOUNTAIN HWY
Second Line	:
City	:	NORTH CONWAY
State	:	NH
Zip	:	03860-5147
Country	:	US
Telephone Number	:	978-691-5690
Fax Number	:

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

Provider Enumeration Date	:	09/22/2022
Last Update Date	:	10/22/2022

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Directions to “ VALERIE SMITH APRN” Practice Location

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