Doctor Name: | MRS. CHERIE SMITH |
NPI Number: | 1194196295 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 4704177420 |
Business Practice Address: | 1184 Cleaver Rd Suite 300 Caro, MI - 487231143 |
Business Phone Number: | 8887585709 |
Business Fax Number: | |
Mailing Address: | 1184 Cleaver Rd, Suite 300 CARO |
State: | MI |
Postal Code: | 487231143 |
Phone Number: | 8887585709 |
Fax Number: | |
NPI Enumeration Date: | 10/14/2015 |
NPI Last Update Date: | 10/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 4704177420 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |