Individual
MARCIA ANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
4435 W LAWRENCE ST, APPLETON, WI 54914-4065
(920) 750-5500
Mailing address
4435 W LAWRENCE ST, APPLETON, WI 54914-4065
(920) 750-5500
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
429433
WI
Other
Enumeration date
12/21/2010
Last updated
12/21/2010
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