Most Relevant Information
Provider Data
| NPI Number: | 1003260415 |
| Provider Name: | ALICE SMITH RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 705393 |
Most Important Dates
| Enumeration Date: | 04/21/2016 |
| Last Updated: | 04/21/2016 |
Provider Practice Location
516 E NIZHONI BLVD
GALLUP
NM
873015748
Practice Location Phone/Fax
| Phone: | 5057221790 |
| Fax: |
Provider Mailing Location
516 E NIZHONI BLVD
GALLUP
NM
873015748
Provider Mailing Phone/Fax
| Phone: | 5057221790 |
| Fax: |