| Doctor Name: | MRS. MARISA SMITH |
| NPI Number: | 1114106523 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RD,LD |
| License Number: | |
| Business Practice Address: | 1139 Route 63 Westmoreland, NH - 03467 |
| Business Phone Number: | 6033994988 |
| Business Fax Number: | |
| Mailing Address: | 1139 Route 63, WESTMORELAND |
| State: | NH |
| Postal Code: | 03467 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 11/01/2007 |
| NPI Last Update Date: | 11/01/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133VN1004X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NH |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | Nutrition, Pediatric |
| Taxonomy Definition: | |