Individual
PHYLLIS A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
3188 BELLEVUE AVE, CINCINNATI, OH 45219-2369
(513) 584-1000
Mailing address
3188 BELLEVUE AVE, CINCINNATI, OH 45219-2369
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0035529
OH
363LA2100X
Acute Care Nurse Practitioner
0035529
OH
364SA2100X
Acute Care Clinical Nurse Specialist
019399
OH
Other
Enumeration date
11/26/2018
Last updated
08/20/2024
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