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1881414548
STACI PATRICE SMITH
MONTGOMERY, AL
NPI
1881414548
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-169012)
Enumeration Date
2024-10-16
Last Update Date
2024-10-18
Business Address
STACI PATRICE SMITH CRNP
488 SAINT LUKES DR
MONTGOMERY, AL 36117-7104
Phone number: 334-288-7808
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Mailing Address
STACI PATRICE SMITH CRNP
201 DEFENSE HWY STE 205
ANNAPOLIS, MD 21401-7096
Phone number: 855-527-7246
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