Individual
SANDRA L. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
9500 EUCLID AVE # J2-2, CLEVELAND, OH 44195-3494
(216) 538-2701
(216) 636-6982
Mailing address
9500 EUCLID AVE # J2-2, CLEVELAND, OH 44195-0001
(216) 538-2701
(216) 636-6982
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN185542
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2199286
—
OH
Enumeration date
05/25/2006
Last updated
03/02/2020
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