Individual
ELIZABETH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1221 SIXTH ST STE 300, TRAVERSE CITY, MI 49684-2360
(231) 935-2400
(231) 392-2424
Mailing address
1105 SIXTH ST, TRAVERSE CITY, MI 49684-2345
(231) 935-7549
(231) 392-0039
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4704363158
MI
363LF0000X
Family Nurse Practitioner
Primary
4704363158
MI
Other
Enumeration date
01/08/2025
Last updated
07/16/2026
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