Individual
AMY NICHOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1128 NW HARRIMAN ST, BEND, OR 97703-1947
(541) 322-7414
(541) 316-2268
Mailing address
2577 NE COURTNEY DR, BEND, OR 97701-7638
(541) 322-7500
(541) 322-7565
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
20094212RN
OR
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/02/2017
Last updated
02/02/2017
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