Individual provider · Type 1 NPI
Shafonne Monique Smith, WHNP-BC
Adult Health Nurse Practitioner · St. Louis, MO
NPI number
1770928343
Active
Practice location
401 Holly Hills Ave
St. Louis, MO 63111-2410
Fax (314) 353-7631
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 2016009888 (MO) |
| Massage Therapist | 225700000X | 2024011653 (MO) |
| Gerontology Nurse Practitioner | 363LG0600X | 2016009888 (MO) |
| Women's Health Nurse Practitioner | 363LW0102X | 28208566A (IN) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1770928343
Shafonne Monique Smith, WHNP-BC's National Provider Identifier is 1770928343, issued on May 8, 2013. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in St. Louis, MO. The record was last updated on Sep 30, 2024.