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Contact Information

COLTEDRA S SMITH, FNP-BC
2555 COURT DR STE 450
GASTONIA, NC28054
 Phone: 704-671-7652
 Fax: 704-671-7656
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for COLTEDRA S SMITH · (Female)

NPI # 1336498732
Status Active
Credentials FNP-BC (Family Nurse Practitioner)
Entity Individual
Enumeration date 08/31/2012
Last updated 11/27/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 5012225
  • TN License # APN0000016966
Hospital affiliation(s)
  • GASTON MEMORIAL HOSPITAL - (Acute Care)
    2525 COURT DR
    GASTONIA, NC 28052
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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