person
Elizabeth Ellen Smith, APN,CNNP
Critical Care Neonatal Nurse Practitioner in Crown Point, Indiana
NPI 1336329820

Elizabeth Ellen Smith is a Critical Care Neonatal Nurse Practitioner based in Detroit, IN and is specialized in Neonatal, Critical Care. Elizabeth Ellen Smith practices in Crown Point, IN and has the professional credentials of APN,CNNP. The NPI Number for Elizabeth Ellen Smith is 1336329820 and holds a License No. 71004643A (Indiana).

The current practice location address for Elizabeth Ellen Smith is 12750 St Francis Dr, Crown Point, IN and can be reached out via phone at 219-757-6004 and via fax at 219-681-6871. You can also correspond with Elizabeth Ellen Smith through the mailing address at PO BOX 781076, DETROIT, MI - 48278-1076 (mailing address contact number: 317-528-4800).

Location: 12750 St Francis Dr, Crown Point, IN, 48278-1076
person
Provider Profile Details
NPI Number
1336329820
Provider Name
Elizabeth Ellen Smith
Credential
APN,CNNP
Provider Entity Type
Individual
Gender
Female
Address
12750 St Francis Dr, Crown Point, IN, 48278-1076
Phone Number
219-757-6004
Fax Number
219-681-6871
Provider Enumeration Date
11/13/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
28142802A 01 IN STATE OF INDIANA
71004643B 01 IN STATE OF IN
71004643A 01 IN STATE OF INDIANA
institution
Provider Business Practice Location Address Details
Address
12750 St Francis Dr
City
State
Zip
46307-0264
Phone Number
219-757-6004
Fax Number
219-681-6871
person
Provider Business Mailing Address Details
Address
12750 St Francis Dr
City
State
Zip
46307-0264
Phone Number
219-757-6004
Fax Number
219-681-6871
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Neonatal
Taxonomy
License No.
209.006805 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Neonatal, Critical Care
Taxonomy
License No.
71004643A (Indiana)
Definition
Definition to come...
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