Individual
ELIZIBETH SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18449 AUSTIN PL, EDMOND, OK 73012-4594
(443) 567-9781
Mailing address
18449 AUSTIN PL, EDMOND, OK 73012-4594
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
Primary
213384
OK
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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