Individual
CORINNE ELIZABETH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP -BC
Contact information
Practice address
1270 KOT NUM RD, WARM SPRINGS, OR 97761
(541) 553-1196
Mailing address
621 SE SCOTCH PINE WAY, MADRAS, OR 97741-2033
(314) 960-4421
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2019015046
MO
363LF0000X
Family Nurse Practitioner
202000365NP-PP
OR
363LF0000X
Family Nurse Practitioner
F11180553
MO
Other
Enumeration date
02/10/2019
Last updated
04/07/2022
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