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Individual
ELIZABETH SMITH
Active
Individual
ELIZABETH SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
149819
NC
163WH0200X
Home Health Registered Nurse
126444
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6601983
—
NC
Enumeration date
05/05/2010
Last updated
09/05/2023
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