Individual
MRS. CONSTANCE MARIE SMITH-KRUEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
100 HAZEL DR, NORTHFIELD, OH 44067-2822
(330) 474-0619
Mailing address
100 HAZEL DR, NORTHFIELD, OH 44067-2822
(330) 474-0619
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.221513
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN.221513
RN LICENSE OHIO
OH
Enumeration date
06/04/2007
Last updated
07/08/2007
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