Individual
MS. ANITA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
362 W HIGH ST, MOUNT GILEAD, OH 43338-1004
(419) 688-1137
Mailing address
362 W HIGH ST, MOUNT GILEAD, OH 43338-1004
(419) 688-1137
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.078036
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2408059
—
OH
Enumeration date
04/25/2007
Last updated
07/08/2007
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