Individual
MS. PAULETTE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3115 SELKIRK DR APT 2, SUN PRAIRIE, WI 53590-4297
(608) 837-0538
Mailing address
3115 SELKIRK DR APT 2, SUN PRAIRIE, WI 53590-4297
(608) 837-0538
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
146475-030
WI
2278H0200X
Home Health Certified Respiratory Therapist
146475-030
WI
Other
Enumeration date
09/11/2008
Last updated
09/11/2008
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