Smith, Marie Nicole
Smith, Marie Nicole is an individual health care provider with primary practice located at 600 W Main St Ste 130 , Troy OH 45373-3384. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Perinatal, Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Smith, Marie Nicole can be contacted via phone (855) 500-2873.Contact Information
Primary practice address
600 W Main St Ste 130
Troy OH 45373-3384
Phone: (855) 500-2873
Fax: (937) 980-7057
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Perinatal | 363LP1700X | APRN..CNP.12269 | Ohio |
| Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist | 364S00000X | COA12269NS | Ohio |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 364SA2200X | RN312421 | Ohio |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | APRNCNP026015 | Ohio |
Profile Details
| NPI number | 1265711170 |
|---|---|
| LBN Legal business name | Smith, Marie Nicole |
| Credentials | RN, CNS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2011 |
| Last updated | Nov 20th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265711170 | NPPES |
| Ohio | MEDICAID | 0083654 | |
| Ohio | Other | COA12269NS |
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