Individual
ANDREA M. SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6400 E BROAD ST FL 4, COLUMBUS, OH 43213-2086
(614) 655-3345
Mailing address
6400 E BROAD ST FL 4, COLUMBUS, OH 43213-2086
(614) 655-3345
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.471879
OH
164W00000X
Licensed Practical Nurse
LPN.170170.MEDS-IV
OH
Other
Enumeration date
04/23/2019
Last updated
01/15/2020
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