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Individual

MS. MICHELLE RENEE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
WHNP

Contact information

Practice address
4216 HILLS AND DALES RD NW, CANTON, OH 44708-1658
(330) 617-5785
Mailing address
PO BOX 87, MIDDLEBRANCH, OH 44652-0087

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
376684
OH
363LW0102X
Women's Health Nurse Practitioner
Primary
APRN.CNP.14081
OH
363LW0102X
Women's Health Nurse Practitioner
RN376684
OH

Other

Enumeration date
03/09/2012
Last updated
02/08/2022
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