Individual
MRS. CARLA SUE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
1005 BROADWAY ST, QUINCY, IL 62301-2834
(217) 223-8400
(217) 214-5675
Mailing address
PO BOX 7005, QUINCY, IL 62305-7005
(217) 223-8400
(217) 214-5675
Taxonomy
Speciality
Code
Description
License number
State
364SX0200X
Oncology Clinical Nurse Specialist
Primary
209.000880
IL
Other
Enumeration date
11/06/2020
Last updated
11/06/2020
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