Individual
MICHELE D SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3400 SPRUCE ST, 4TH FLOOR PENN TOWER, PHILADELPHIA, PA 19104-4206
(215) 662-7354
Mailing address
3400 SPRUCE ST, 4TH FLOOR PENN TOWER, PHILADELPHIA, PA 19104-4206
(215) 662-7354
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
TP004905B
PA
Other
Enumeration date
10/04/2006
Last updated
05/17/2012
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