Individual
LINDA S SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1201 N POST RD STE 4, INDIANAPOLIS, IN 46219-4225
(317) 405-8833
Mailing address
821 N STATE ROAD 135, GREENWOOD, IN 46142-1314
(317) 560-4300
(317) 530-9084
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71005115A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201256790
—
IN
01
—
P01615649
MEDICARE RAIL ROAD
IN
Enumeration date
09/11/2014
Last updated
09/13/2023
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