Individual
MS. ANGELA F SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3095 KETTERING BLVD, MORAINE, OH 45439-1983
(937) 293-8300
Mailing address
3095 KETTERING BLVD, MORAINE, OH 45439-1983
(937) 293-8300
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.525868
OH
164W00000X
Licensed Practical Nurse
LPN.167728.MEDS-IV
OH
Other
Enumeration date
03/30/2022
Last updated
07/18/2023
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