Mitzi Wynette Smith, FNP
Nurse Practitioner, Family in Dallas, TX. Individual provider (NPI-1).
NPI number1437291663
StatusActive
Last updated in NPPESApr 7, 2016
Details
- NPI
- 1437291663
- Entity type
- Individual (NPI-1)
- Name
- Ms. Mitzi Wynette Smith
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 13, 2007
- Last updated
- Apr 7, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | AP127843 | TX | Yes |
| 363L00000X | Nurse Practitioner | 12690 | TN |
Practice location
5200 Harry Hines BlvdDallas, TX 75235-7709
Phone 214-590-8962
Mailing address
P.O. Box 660599Dallas, TX 75266-0599
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