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Contact Information

LAURA R SMITH, CNP
140 W MAIN ST
WILMINGTON, OH45177-2239
 Phone: 937-481-2930
 Fax: 937-382-4717
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Legal Medicine

173000000X
Indicates primary specialty

NPI Profile & details for LAURA R SMITH · (Female)

NPI # 1376853630
Status Active
Credentials CNP (Certified Nurse Practitioner)
Entity Individual
Enumeration date 10/20/2010
Last updated 09/10/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • OH License # COA11596-NP
  • OH License # NP11596
  • OH Medicaid 0096862
Hospital affiliation(s)
  • CLINTON MEMORIAL HOSPITAL - (Acute Care)
    610 WEST MAIN STREET
    WILMINGTON, OH 45177
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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