Individual
MISS SUSAN J SMITHWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
4301 W MARKHAM ST, LITTLE ROCK, AR 72205-7101
(501) 603-1278
Mailing address
1619 FOXRUN RD, BENTON, AR 72015-1760
(501) 316-1702
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
A02901
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00382993
RAILROAD MEDICARE
AR
Enumeration date
11/20/2006
Last updated
02/21/2008
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