Provider Demographics
NPI:1700311701
Name:RASHID, SMITA (FNP-C)
Entity Type:Individual
Prefix:
First Name:SMITA
Middle Name:
Last Name:RASHID
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:SMITA
Other - Middle Name:DEVI POUDEL
Other - Last Name:RASHID
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP-C
Mailing Address - Street 1:517 E NIZHONI BLVD
Mailing Address - Street 2:
Mailing Address - City:GALLUP
Mailing Address - State:NM
Mailing Address - Zip Code:87301-5757
Mailing Address - Country:US
Mailing Address - Phone:505-862-1827
Mailing Address - Fax:
Practice Address - Street 1:3908 JUAN TABO BLVD NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87111-3971
Practice Address - Country:US
Practice Address - Phone:505-881-4012
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-27
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCNP-03196363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily