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Individual

ELIZABETH ELLEN SMITH

Active
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Individual

ELIZABETH ELLEN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN, CNNP

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
209.006805
IL
363LN0000X
Neonatal Nurse Practitioner
Primary
71004643A
IN
363LN0005X
Critical Care Neonatal Nurse Practitioner
71004643A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
28142802A
STATE OF INDIANA
IN
01
71004643A
STATE OF INDIANA
IN
01
71004643B
STATE OF IN
IN
Enumeration date
11/13/2007
Last updated
01/15/2024
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