Individual
MICAH PAULETTE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
RN261603
GA
364SE0003X
Emergency Clinical Nurse Specialist
RN261603
GA
Other
Enumeration date
02/15/2021
Last updated
02/26/2021
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