Individual
PHYLLIS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
311 E ALCOTT ST, KALAMAZOO, MI 49001-6169
(269) 373-4636
(269) 373-5216
Mailing address
311 E ALCOTT ST, KALAMAZOO, MI 49001-6169
(269) 373-4636
(269) 373-5216
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704291906NSA230IZ
MI
363LF0000X
Family Nurse Practitioner
Primary
4704291906
MI
Other
Enumeration date
09/04/2023
Last updated
03/03/2026
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