Individual
MRS. MARY CHRISTINE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
960 CLAGUE RD, SUITE #2470, WESTLAKE, OH 44145-1582
(440) 250-2450
(440) 250-2451
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
(440) 250-2450
(440) 250-2451
Taxonomy
Speciality
Code
Description
License number
State
364SP0200X
Pediatric Clinical Nurse Specialist
Primary
NS-02686
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2865350
—
OH
Enumeration date
05/28/2008
Last updated
03/29/2011
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