Individual
VICKIE S SMEATIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
4440 RIDGE RD, WILLIAMSON, NY 14589-9382
(315) 589-2693
(315) 589-5158
Mailing address
831 SHELDON RD, SHORTSVILLE, NY 14548-9745
(315) 589-2693
(315) 589-5158
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
463118-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
463118-1
NURSING LISENCE
NY
Enumeration date
02/06/2012
Last updated
02/06/2012
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