Individual
NANCY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
601 WILLOW ST, FRANKFORT, IL 60423-1140
(815) 806-4690
Mailing address
601 WILLOW ST, FRANKFORT, IL 60423-1140
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
041313007
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041313007
NURSING LICENSE
IL
Enumeration date
10/13/2022
Last updated
10/13/2022
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