| Doctor Name: | STEPHANIE MARIE SMITH |
| NPI Number: | 1417212952 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, MSN, NP-C |
| License Number: | 73459 |
| Business Practice Address: | 924 Liberty Street West Milford, WV - 26451 |
| Business Phone Number: | 3047454568 |
| Business Fax Number: | 3043263700 |
| Mailing Address: | Po Box 217, ROCK CAVE |
| State: | WV |
| Postal Code: | 262340217 |
| Phone Number: | 3049246262 |
| Fax Number: | 3049245460 |
| NPI Enumeration Date: | 07/11/2012 |
| NPI Last Update Date: | 07/15/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 73459 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |