Individual
VIRGINIA FRANCES SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
901 LAKESHORE DR, ISHPEMING, MI 49849-1367
(906) 485-2613
(906) 485-2731
Mailing address
901 LAKESHORE DR, ISHPEMING, MI 49849-1367
(906) 485-2613
(906) 485-2731
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
107125030
WI
363LW0102X
Women's Health Nurse Practitioner
209000519
IL
363LW0102X
Women's Health Nurse Practitioner
Primary
4704269367
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43932700
—
WI
Enumeration date
10/24/2005
Last updated
02/14/2012
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