Individual
PAMELA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
115 CLOVER ST STE 300, HOLLAND, MI 49423-3266
(248) 209-9678
Mailing address
7575 11 MILE RD NE, ROCKFORD, MI 49341-9320
(616) 889-3746
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704287924
MI
363LF0000X
Family Nurse Practitioner
Primary
4704287924
MI
Other
Enumeration date
06/24/2021
Last updated
07/08/2021
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