Individual
MRS. SYLVIA LOU SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CPNP
Contact information
Practice address
8820 WOODROW WILSON ST, HUTCHINS HEALTH CENTER (HENRY FORD HEALTH SYSTEM), DETROIT, MI 48206-2216
(313) 873-1400
(313) 873-4735
Mailing address
8584 LITTLEFIELD ST, DETROIT, MI 48228-2557
(313) 934-1175
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4704079417
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4662828
—
MI
Enumeration date
12/19/2006
Last updated
07/08/2007
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