NPI | 1700994712 |
---|---|
Former Name | CARRIE M SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 4331) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 146852) |
363L00000X Nurse Practitioner (Licence: MN R 143309-0) | |
363LC1500X Nurse Practitioner, Community Health (Licence: IN 28193028A) | |
Enumeration Date | 2006-08-29 |
Last Update Date | 2022-03-03 |