Individual
MRS. LINDA SUE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
W180N8085 TOWN HALL RD, MENOMONEE FALLS, WI 53051-3518
(262) 257-3394
(262) 253-7162
Mailing address
34700 VALLEY RD, OCONOMOWOC, WI 53066-4500
(262) 646-4411
(262) 646-1049
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
1143-033
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1143
WI
Other
Enumeration date
05/01/2007
Last updated
06/22/2021
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