Individual
DR. NICHOLE ANN SMITH
Active
Individual
DR. NICHOLE ANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125067378
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
01080325A
IN
207RP1001X
Pulmonary Disease Physician
01080325A
IN
Other
Enumeration date
06/08/2015
Last updated
03/11/2025
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