Individual
REBECCA ROSE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN CNM CDE
Contact information
Practice address
2701 W 68TH ST, 3 SOUTH, CHICAGO, IL 60629-1813
(773) 434-4040
Mailing address
6801 COLDWATER CANYON AVE, NORTH HOLLYWOOD, CA 91605-5162
(818) 763-8836
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
95182490
CA
367A00000X
Advanced Practice Midwife
Primary
236017
CA
Other
Enumeration date
01/02/2014
Last updated
07/17/2022
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