Individual
CAROLYN SUE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN-RN-CNS-CWOCN
Contact information
Practice address
441 N WABASH AVE, MARION, IN 46952-2612
(765) 660-6670
(765) 671-3392
Mailing address
441 N WABASH AVE, MARION, IN 46952-2612
(765) 660-6670
(765) 671-3392
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28103859A
IN
163WC2100X
Continence Care Registered Nurse
28103859A
IN
163WE0900X
Enterostomal Therapy Registered Nurse
28103859A
IN
163WW0000X
Wound Care Registered Nurse
28103859A
IN
364SC1501X
Community Health/Public Health Clinical Nurse Specialist
Primary
28103859A
IN
Other
Enumeration date
11/20/2017
Last updated
11/20/2017
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