Individual
HEATHER NICOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-7101
(502) 627-7000
Mailing address
2645 E BANET RD, SALEM, IN 47167-7800
(812) 844-1264
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27067006A
IN
Other
Enumeration date
01/20/2021
Last updated
01/20/2021
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