Individual
BARBARA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2002 S 17TH ST, MILWAUKEE, WI 53204-3722
(414) 339-9571
Mailing address
PO BOX 16235, MILWAUKEE, WI 53216-0235
(414) 339-9571
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
305070-031
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35012500
—
WI
Enumeration date
05/03/2007
Last updated
12/29/2008
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