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Organization
MADISON HEALTHCARE AND WELLNESS CTR. PC
Active
Organization
MADISON HEALTHCARE AND WELLNESS CTR. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA MARIA SMITH NP (NURSE PRACTITIONER)
(812) 274-0713
Entity
Organization
Contact information
Practice address
220 CLIFTY DR STE J, MADISON, IN 47250-1669
(812) 274-0713
(812) 205-2970
Mailing address
220 CLIFTY DR STE J, MADISON, IN 47250-1669
(812) 274-0713
(812) 205-2970
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/22/2020
Last updated
12/22/2020
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