# HOLLY SMITH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1639920788
- **Gender:** F
- **Credential:** LPN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 164W00000X | Licensed Practical Nurse | 4703120614 | MI | Yes |
| 1710I1003X | Independent Duty Medical Technicians | — | NULL | — |
| 171400000X | Health & Wellness Coach | — | NULL | — |
| 374U00000X | Home Health Aide | — | NULL | — |

## Other

- **Enumeration date:** 03/28/2024
- **Last updated:** 03/28/2024