Individual
HEATHER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
921 W SHARON AVE, HOUGHTON, MI 49931-1921
(906) 483-1777
Mailing address
651 MATHER AVE, ISHPEMING, MI 49849-1032
(906) 360-5225
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704297734
MI
Other
Enumeration date
01/15/2020
Last updated
01/15/2020
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