Individual provider · Type 1 NPI

Michelle Marie Smith, R.N. W.H.N.P.

Women's Health Nurse Practitioner · Lodi, CA

NPI number 1407972805 Active

Practice location

999 S Fairmont Ave, 235
Lodi, CA 95240-5100

Mailing address

600 Coffee Rd
Modesto, CA 95355-4201

Specialties and licenses

TaxonomyCodeLicense
Women's Health Nurse Practitioner Primary 363LW0102X14526 (CA)

Women's Health Nurse Practitioner: Definition to come...

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About NPI 1407972805

Michelle Marie Smith, R.N. W.H.N.P.'s National Provider Identifier is 1407972805, issued on Mar 21, 2007. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Lodi, CA. The record was last updated on Sep 6, 2013.