Smith, Manda Shae

Smith, Manda Shae is an individual health care provider with primary practice located at 800 W Central Rd , Arlington Heights IL 60005-2349. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Smith, Manda Shae can be contacted via phone (847) 618-1000.

Contact Information

Primary practice address
800 W Central Rd Arlington Heights IL 60005-2349
Phone: (847) 618-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 209019533 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209019533 Illinois

Profile Details

NPI number 1457911562
LBN Legal business name Smith, Manda Shae
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2019
Last updated Jun 20th, 2019 - about 6 years ago

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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