Individual
AUDREY ANN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
216 TERRA BELLA DR, YOUNGSTOWN, OH 44505-1045
(330) 506-7514
(234) 254-8026
Mailing address
PO BOX 5254, POLAND, OH 44514-0254
(330) 506-7514
(234) 254-8026
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
NP06525
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2284960
—
OH
Enumeration date
10/28/2005
Last updated
10/07/2024
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