Individual
SANDRA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
220 CLIFTY DR STE J, MADISON, IN 47250-1669
(812) 274-0713
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
363LP2300X
IN
Other
Enumeration date
09/18/2014
Last updated
06/09/2022
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