Individual provider · Type 1 NPI

Stacia Smith, FNP

Family Nurse Practitioner · Fenton, MO

NPI number 1437638764 Active

Practice location

714 Gravois Rd
Fenton, MO 63026-7723

Mailing address

10010 Kennerly Rd
St. Louis, MO 63128-2106

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X2018022878 (MO)

Family Nurse Practitioner: Definition to come...

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About NPI 1437638764

Stacia Smith, FNP's National Provider Identifier is 1437638764, issued on Aug 8, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fenton, MO. The record was last updated on Aug 8, 2018.