Individual provider · Type 1 NPI

Nicole Smith

Licensed Practical Nurse · Madison, WI

NPI number 1336803188 Active

Practice location

2858 Kingston Dr
Madison, WI 53713-2849

Fax (608) 241-8414

Mailing address

2862 Kingston Dr
Madison, WI 53713-2849

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X310423-031 (WI)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1336803188

Nicole Smith's National Provider Identifier is 1336803188, issued on Oct 27, 2021. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Madison, WI. The record was last updated on Oct 27, 2021.