Individual
SHARDA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12120 PLAINVIEW AVE, DETROIT, MI 48228-1085
(248) 690-5122
Mailing address
12120 PLAINVIEW AVE, DETROIT, MI 48228-1085
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703129253
MI
1744P3200X
Prosthetics Case Management
—
—
224P00000X
Prosthetist
—
—
Other
Enumeration date
09/12/2025
Last updated
04/03/2026
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