Individual
MS. ELLEN M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH(C), MS, APRN-BC
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-8626
(603) 650-7791
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-8626
(603) 650-7791
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
025381-23-05
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0NP0987
—
VT
05
—
30011307
—
NH
Enumeration date
08/31/2006
Last updated
07/09/2007
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