| Doctor Name: | SANDRA L. SMITH |
| NPI Number: | 1346296134 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNP |
| License Number: | RN185542 |
| Business Practice Address: | 20455 Lorain Rd Second Floor Fairview Park, OH - 441263494 |
| Business Phone Number: | 4403338600 |
| Business Fax Number: | 4403335015 |
| Mailing Address: | 20455 Lorain Rd, Second Floor FAIRVIEW PARK |
| State: | OH |
| Postal Code: | 441263494 |
| Phone Number: | 4403338600 |
| Fax Number: | 4403335015 |
| NPI Enumeration Date: | 05/25/2006 |
| NPI Last Update Date: | 10/30/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | RN185542 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |