Smith, Alisa Diana

Smith, Alisa Diana is an individual health care provider with primary practice located at 26184 Outer Dr , Lincoln Park MI 48146-2084. She recently has only one registered license in Nursing Service Providers / General Practice, which is considered as her primary health care specialty. Smith, Alisa Diana can be contacted via phone (313) 389-7500.

Contact Information

Primary practice address
26184 Outer Dr Lincoln Park MI 48146-2084
Phone: (313) 389-7500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 4704136416 Michigan

Profile Details

NPI number 1740421767
LBN Legal business name Smith, Alisa Diana
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2009
Last updated Jun 8th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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