Individual
MARTHA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
246 KNIGHT DREAM ST, DELAWARE, OH 43015-3404
(740) 936-7259
Mailing address
246 KNIGHT DREAM ST, DELAWARE, OH 43015-3404
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0027707
OH
Other
Enumeration date
05/21/2020
Last updated
01/19/2021
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