Individual
LAURA A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1853 RW BERENDS DR SW, WYOMING, MI 49519-4955
(616) 534-9300
(616) 534-9303
Mailing address
9292 COPPER GREENS CT SE, CALEDONIA, MI 49316-8193
(616) 299-9065
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
4704149052
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669596284
—
MI
Enumeration date
02/15/2018
Last updated
02/15/2018
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