Individual
ANDREA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2301 W MAIN ST, MARION, IL 62959
(618) 997-7177
(618) 997-7160
Mailing address
230 JACOB RD, ELDORADO, IL 62930-3521
(618) 534-1902
(618) 997-7160
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
041264061
IL
Other
Enumeration date
03/31/2023
Last updated
03/31/2023
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