Individual
DENISE R SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2025 VIRGINIA AVE., STE. D, CONNERSVILLE, IN 47331-2914
(765) 827-8064
(765) 825-6999
Mailing address
1100 REID PARKWAY, MEDICAL STAFF SERVICE, RICHMOND, IN 47374-1157
(765) 935-8802
(765) 983-3219
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71007638A
IN
Other
Enumeration date
08/31/2017
Last updated
12/07/2021
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