Individual
MRS. DANAE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1050 E NORRIS DR STE 2C, OTTAWA, IL 61350-1611
(815) 431-0785
(815) 431-0799
Mailing address
420 NE GLEN OAK AVE STE 401, PEORIA, IL 61603-3168
(309) 676-8123
(309) 676-8455
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209014259
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209014259
—
IL
Enumeration date
08/04/2015
Last updated
01/16/2025
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