Individual
MICHELLE N SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1220 E. 2ND AVENUE, MONMOUTH, IL 61462
(309) 734-3131
Mailing address
1220 E. 2ND AVENUE, MONMOUTH, IL 61462
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.361183
IL
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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