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Nicole Marie Smith, DPM
Student in an Organized Health Care Education/Training Program in Bridgeton, Missouri
NPI 1548840564

Nicole Marie Smith is a Student in an Organized Health Care Education/Training Program based in Maple Grove, MO. Nicole Marie Smith practices in Bridgeton, MO and has the professional credentials of DPM. The NPI Number for Nicole Marie Smith is 1548840564 and holds a License No. (Missouri).

The current practice location address for Nicole Marie Smith is 12303 Depaul Drive, Bridgeton, MO and can be reached out via phone at 314-344-6000. You can also correspond with Nicole Marie Smith through the mailing address at 11875 84TH AVE N, MAPLE GROVE, MN - 55369-3063 (mailing address contact number: 305-542-1541).

Location: 12303 Depaul Drive, Bridgeton, MO, 55369-3063
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548840564
Provider Name
Nicole Marie Smith
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
12303 Depaul Drive, Bridgeton, MO, 55369-3063
Phone Number
314-344-6000
Fax Number
Provider Enumeration Date
04/13/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12303 Depaul Drive
City
Bridgeton
State
Missouri
Zip
63044-2512
Phone Number
314-344-6000
Fax Number
person
Provider Business Mailing Address Details
Address
12303 Depaul Drive
City
Bridgeton
State
Missouri
Zip
63044-2512
Phone Number
314-344-6000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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