Provider Demographics
NPI:1437831005
Name:SMITH, COURTNEY HOWDEN (FNP)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:HOWDEN
Last Name:SMITH
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 PATTERSON MILL LN
Mailing Address - Street 2:
Mailing Address - City:CROZET
Mailing Address - State:VA
Mailing Address - Zip Code:22932-3611
Mailing Address - Country:US
Mailing Address - Phone:434-284-2245
Mailing Address - Fax:
Practice Address - Street 1:900 RIO EAST CT STE A
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22901-8040
Practice Address - Country:US
Practice Address - Phone:434-975-7777
Practice Address - Fax:434-975-7774
Is Sole Proprietor?:No
Enumeration Date:2023-08-03
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024187616363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily