Individual
COURTNEY ALEXIS SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2300 BIDDLE AVE, WYANDOTTE, MI 48192-4650
(734) 246-5705
Mailing address
8801 MIDDLETON CT, GROSSE ILE, MI 48138-1283
(734) 548-0890
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704357661
MI
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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