Individual
SHERRY SUE SMILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1301 W 12TH AVE, SUITE 301, EMPORIA, KS 66801-2587
(620) 343-2376
(620) 343-0095
Mailing address
420 W 15TH AVE, SUITE 301, EMPORIA, KS 66801-5367
(620) 343-2376
(620) 343-0095
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
45075
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100388960B
—
KS
01
—
161060
BC/BS
KS
01
—
P00057490
MEDICARE RAILROAD
KS
Enumeration date
07/19/2006
Last updated
01/19/2017
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