Individual provider · Type 1 NPI

Mary Elizabeth Smith, CPNP

Pediatric Nurse Practitioner · Loganville, GA

NPI number 1730408386 Active

Practice location

3815 Harrison Rd
Loganville, GA 30052-2462

Fax (770) 466-6012

Mailing address

980 Lawrenceville Hwy
Lawrenceville, GA 30046-4706

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XRN178265 (GA)

Pediatric Nurse Practitioner: Definition to come...

7 other providers at this address

Other pediatric nurse practitioner providers in Loganville

See all in Loganville →

About NPI 1730408386

Mary Elizabeth Smith, CPNP's National Provider Identifier is 1730408386, issued on May 21, 2010. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Loganville, GA. The record was last updated on May 21, 2010.