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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TAMMY R SMITH, FNP-BC

Active

Family Nurse Practitioner · SOPHIA, WV

Registration Details

NPI Number
1548254097
Provider Type
Individual
Gender
Female
NPI Issued
Sep 9, 2005 (20.651337746968 yrs)
Last Updated
Aug 12, 2011
License
56022 (WV)

Practice Information

Address
410 MAIN STREET
GULF FAMILY PRACTICE
SOPHIA, WV, 259211304
Browse WV providers · Browse ZIP 25921
Phone
3046834304
Fax
3046834307
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Providers in SOPHIA, WV

Name Credential NPI
LORI FLIS CNP 1154457117
SAMANTHA J MILLER FNP 1700286002
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.