Individual
ELIZABETH ELLEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, CNNP
Contact information
Practice address
12750 ST FRANCIS DR, CROWN POINT, IN 46307-0264
(219) 757-6004
(219) 681-6871
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
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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