Individual
LINDA M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
550 N MERIDIAN ST, UH 1134, INDIANAPOLIS, IN 46204-1207
(317) 274-7453
Mailing address
PO BOX 44994, INDIANAPOLIS, IN 46244-0994
(317) 274-4402
(317) 274-5168
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71000789
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200351440
—
IN
Enumeration date
05/04/2006
Last updated
11/08/2011
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