Individual provider · Type 1 NPI
Marquita Smith, NURSE PRACTITIONER
Primary Care Nurse Practitioner · Manvel, TX
NPI number
1790478089
Active
Practice location
7507 Masters Rd Unit B
Manvel, TX 77578-4826
Mailing address
11404 Tidenhaven Ct
Pearland, TX 77584-2559
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 231758 (LA) |
| Primary Care Nurse Practitioner | 363LP2300X | 231758 (LA) |
| Primary Care Nurse Practitioner | 363LP2300X | RN149102 (LA) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | 1230668 (TX) |
Primary Care Nurse Practitioner: Definition to come...
About NPI 1790478089
Marquita Smith, NURSE PRACTITIONER's National Provider Identifier is 1790478089, issued on Jun 1, 2023. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Manvel, TX. The record was last updated on Aug 5, 2026.