Individual provider · Type 1 NPI

Marianne Smith

Nurse Practitioner · Marion, IL

NPI number 1790614915 Active

Practice location

3331 W Deyoung St
Marion, IL 62959-5896

Fax (618) 997-7962

Mailing address

PO Box 632331
Cincinnati, OH 45263-2331

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X209.036675 (IL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1790614915

Marianne Smith's National Provider Identifier is 1790614915, issued on May 14, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Marion, IL. The record was last updated on Oct 21, 2026.