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Contact Information

SUSAN C SMITH, RN
607 W MAIN ST
GRANGEVILLE, ID83530-1345
 Phone: 208-983-9590
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Medical-Surgical

163WM0705X
Indicates primary specialty

NPI Profile & details for SUSAN C SMITH · (Female)

NPI # 1306460852
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 06/01/2020
Last updated 12/23/2020 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • ID License # 34969
  • ID License # 66063
Hospital affiliation(s)
  • SYRINGA GENERAL HOSPITAL - (Critical Access)
    607 W MAIN STREET
    GRANGEVILLE, ID 83530
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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