Individual
MARION ELIZABETH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1630 23RD AVE, LEWISTON, ID 83501-6350
(208) 746-7784
(208) 798-8652
Mailing address
2025 CONESTOGA ST, MOSCOW, ID 83843-2436
(208) 596-3416
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
NP-1236A
ID
Other
Enumeration date
05/08/2013
Last updated
05/08/2013
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