Individual
CHANELLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9248 PIEDMONT ST, DETROIT, MI 48228-1727
(248) 914-2939
Mailing address
9248 PIEDMONT ST, DETROIT, MI 48228-1727
(248) 914-2939
Taxonomy
Speciality
Code
Description
License number
State
163WI0600X
Infection Control Registered Nurse
Primary
4704310023
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704310023
REGISTERED NURSE LICENSE NUMBER
MI
Enumeration date
01/18/2021
Last updated
01/18/2021
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