Individual
STEPHANIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15400 S WOODLAND RD, SHAKER HEIGHTS, OH 44120-1850
(216) 295-4155
(216) 295-4032
Mailing address
15400 S WOODLAND RD, SHAKER HEIGHTS, OH 44120-1850
(216) 295-4155
(216) 295-4032
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
OH1259872
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OH1259872
ODE
OH
01
—
RN167853
BOARD OF NURSING
OH
Enumeration date
05/12/2014
Last updated
05/12/2014
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