Individual
MICHELLE RAE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
749 OXFORD DR, IDAHO FALLS, ID 83401-4203
(208) 701-2777
(208) 369-2854
Mailing address
749 OXFORD DR, IDAHO FALLS, ID 83401-4203
(208) 529-2352
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
—
—
363LF0000X
Family Nurse Practitioner
Primary
61679
ID
Other
Enumeration date
02/02/2007
Last updated
12/19/2024
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