Individual
MRS. SHANNON MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
5072 GOODWILL RD, TOLEDO, OH 43613-2502
(419) 704-8062
Mailing address
5072 GOODWILL RD, TOLEDO, OH 43613-2502
(419) 704-8062
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
390595
OH
Other
Enumeration date
03/22/2025
Last updated
03/22/2025
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