Individual
ELLEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C, WHNP-BC
Contact information
Practice address
33 1/2 PEMBROKE RD, DANBURY, CT 06811-2954
(203) 312-5350
Mailing address
33 1/2 PEMBROKE RD, DANBURY, CT 06811-2954
(203) 312-5350
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4500
CT
363LW0102X
Women's Health Nurse Practitioner
4500
CT
Other
Enumeration date
04/20/2011
Last updated
04/20/2011
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