Individual
MEGAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
13601 KENTON AVE, CRESTWOOD, IL 60418-1938
(877) 752-8046
Mailing address
13601 KENTON AVE, CRESTWOOD, IL 60418-1938
(877) 752-8046
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
1618520
CO
Other
Enumeration date
05/12/2021
Last updated
05/12/2021
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