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Individual
MISS PHYLLIS LORRAINE SMITH
Active
Individual
MISS PHYLLIS LORRAINE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
123597
CO
163WM0102X
Maternal Newborn Registered Nurse
123597
CO
163WP1700X
Perinatal Registered Nurse
123597
CO
163WX0002X
High-Risk Obstetric Registered Nurse
123597
CO
163WX0003X
Inpatient Obstetric Registered Nurse
Primary
123597
CO
Other
Enumeration date
11/05/2007
Last updated
11/05/2007
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