Individual
MS. DANIELLE MICHEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
18101 OAKWOOD BLVD, ISU-OBS, DEARBORN, MI 48123-4089
(313) 982-5770
(313) 982-5771
Mailing address
23300 ECORSE RD, TAYLOR, MI 48180-1768
(313) 291-9500
(313) 291-6694
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704194031
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10-4559012
—
MI
05
—
10-4559021
—
MI
05
—
10-4559030
—
MI
05
—
10-4559040
—
MI
05
—
10-4559059
—
MI
05
—
10-4636630
—
MI
01
—
11712584
CAQH
—
Enumeration date
01/09/2006
Last updated
09/21/2017
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