Individual
AUTUMN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3113 BELLEVUE AVE, CINCINNATI, OH 45219-3158
(765) 729-2639
(513) 475-8033
Mailing address
2838 SECTION RD, CINCINNATI, OH 45237-3716
(765) 729-2639
(513) 475-8033
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
LE-00042708
OH
363LA2100X
Acute Care Nurse Practitioner
LE-00042708
OH
Other
Enumeration date
01/31/2023
Last updated
11/08/2023
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