Individual
EMILY DIANNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
1 CHILDRENS PLZ, DAYTON, OH 45404-1898
(937) 641-3000
Mailing address
3891 STRALEY RD, XENIA, OH 45385-9619
(937) 766-7195
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
COA07920-NP
OH
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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