Doctor Name: | ELIZABETH ANN SMITH |
NPI Number: | 1538493986 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | 1069084 |
Business Practice Address: | 306 Hospital Dr South Williamson, KY - 415034095 |
Business Phone Number: | 6062371700 |
Business Fax Number: | |
Mailing Address: | 306 Hospital Dr, SOUTH WILLIAMSON |
State: | KY |
Postal Code: | 415034095 |
Phone Number: | 6062371700 |
Fax Number: | |
NPI Enumeration Date: | 10/01/2009 |
NPI Last Update Date: | 10/01/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 1069084 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |