Individual
ALISHA GRACE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2977 W BROAD ST, COLUMBUS, OH 43204-2650
(614) 940-8063
Mailing address
4934 HAMDEN WAY, COLUMBUS, OH 43228-1346
(614) 940-8063
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0030837
OH
Other
Enumeration date
03/01/2022
Last updated
07/12/2022
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