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Shelly Smith
Licensed Practical Nurse in Petoskey, Michigan
NPI 1437504222

Shelly Smith is a Licensed Practical Nurse based in Petoskey, MI. Shelly Smith practices in Petoskey, MI. The NPI Number for Shelly Smith is 1437504222 and holds a License No. 4703111792 (Michigan).

The current practice location address for Shelly Smith is 912 Petoskey St, Petoskey, MI and can be reached out via phone at 231-881-0266.

Location: 912 Petoskey St, Petoskey, MI, 49770-2937
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437504222
Provider Name
Shelly Smith
Credential
Provider Entity Type
Individual
Gender
Female
Address
912 Petoskey St, Petoskey, MI, 49770-2937
Phone Number
231-881-0266
Fax Number
Provider Enumeration Date
04/28/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
912 Petoskey St
City
Petoskey
State
Michigan
Zip
49770-2937
Phone Number
231-881-0266
Fax Number
person
Provider Business Mailing Address Details
Address
912 Petoskey St
City
Petoskey
State
Michigan
Zip
49770-2937
Phone Number
231-881-0266
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
4703111792 (Michigan)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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