Individual
HEATHER NICHOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
357 TANGER BLVD STE 215, SEYMOUR, IN 47274-3597
(812) 716-7326
Mailing address
9805 N COUNTY ROAD 525 E, SEYMOUR, IN 47274-9792
(812) 530-1327
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
27069781A
IN
Other
Enumeration date
12/08/2023
Last updated
12/08/2023
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