Individual
ELIZABETH ANNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2249 WEALTHY ST SE, STE 202, GRAND RAPIDS, MI 49506-3052
(248) 952-1601
(248) 952-1614
Mailing address
2249 WEALTHY ST SE, STE 202, GRAND RAPIDS, MI 49506-3052
(248) 952-1601
(248) 952-1614
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
4704228049
MI
Other
Enumeration date
04/10/2006
Last updated
02/18/2016
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