Provider Demographics
NPI:1992417158
Name:SMITH, MARIA LOUISE (FNP)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:LOUISE
Last Name:SMITH
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Gender:F
Credentials:FNP
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Mailing Address - Street 1:660 S EUCLID AVE
Mailing Address - Street 2:MSC 8242-22-02
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-1010
Mailing Address - Country:US
Mailing Address - Phone:314-362-8200
Mailing Address - Fax:314-362-8240
Practice Address - Street 1:1044 N MASON RD
Practice Address - Street 2:DIV SURG UROLOGY, MOB 4 STE 230
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-6431
Practice Address - Country:US
Practice Address - Phone:314-362-8200
Practice Address - Fax:314-454-5244
Is Sole Proprietor?:No
Enumeration Date:2022-12-20
Last Update Date:2023-01-09
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Provider Licenses
StateLicense IDTaxonomies
MO2022048861363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care