Individual
ABIGAIL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
808 WALNUT ST, RACINE, OH 45771-5004
(740) 418-3833
Mailing address
808 WALNUT ST, RACINE, OH 45771-5004
(740) 418-3833
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN.CNP.0035168
OH
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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