Individual
MRS. MICHELE M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
615 FULMER RD, MISHAWAKA, IN 46544-6911
(574) 252-2663
(574) 252-5906
Mailing address
615 FULMER RD, MISHAWAKA, IN 46544-6911
(574) 252-2663
(574) 252-5906
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7000954A
IN
Other
Enumeration date
09/25/2007
Last updated
02/15/2016
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