Individual
GWEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN,CNP,CDE
Contact information
Practice address
12000 MCCRACKEN RD, SUITE 550, GARFIELD HTS, OH 44125-2964
(216) 663-8686
(216) 663-2153
Mailing address
12000 MCCRACKEN RD, SUITE 550, GARFIELD HTS, OH 44125-2964
(216) 663-8686
(216) 663-2153
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
NP05426
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2455892
—
OH
Enumeration date
10/12/2006
Last updated
07/08/2007
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