Individual
RENEE R SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM,APNP
Contact information
Practice address
720 S VANBUREN ST, SUITE 101, GREEN BAY, WI 54301-3504
(920) 433-3420
(920) 338-6859
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7222
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
148970-32
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CNM05317
AMERICAN MIDWIFERY CERTIFICATION
—
Enumeration date
11/07/2019
Last updated
11/08/2019
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