Individual provider · Type 1 NPI

Ann Louise Smith, PhD, CPNP

Pediatric Nurse Practitioner · Fort Worth, TX

NPI number 1093778201 Active

Practice location

801 7th Ave
Fort Worth, TX 76104-2733

Fax (682) 885-1033

Mailing address

PO Box 99213
Fort Worth, TX 76199-0213

Specialties and licenses

TaxonomyCodeLicense
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X579494 (TX)
Pediatric Nurse Practitioner Primary 363LP0200X579494 (TX)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1093778201

Ann Louise Smith, PhD, CPNP's National Provider Identifier is 1093778201, issued on Apr 10, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Fort Worth, TX. The record was last updated on Jul 24, 2012.