Individual
STEPHANIE ANN SMART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2198 US 31 S, MANISTEE, MI 49660-9618
(231) 723-3567
Mailing address
6227 FRANKFORT HWY, BENZONIA, MI 49616-8632
(231) 723-3567
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704150277
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704150277
STATE LICENSE
MI
01
—
SS150277
3RD PARTY IDENTIFER
MI
Enumeration date
06/06/2006
Last updated
04/16/2013
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