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Individual

MRS. SHIRLEY L SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN APN

Contact information

Practice address
285 MADISON AVE, M-WE0-01 STUDENT HEALTH, MADISON, NJ 07940
(973) 443-8535
(973) 443-8174
Mailing address
285 MADISON AVE, M-WE0-01 STUDENT HEALTH, MADISON, NJ 07940
(973) 443-8535
(973) 443-8174

Taxonomy

Speciality
Code
Description
License number
State
163WC1400X
College Health Registered Nurse
Primary
26NO04975600
NJ
363LA2200X
Adult Health Nurse Practitioner
26NN04975600
NJ

Other

Enumeration date
08/01/2007
Last updated
08/01/2007
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