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Matthew Nathan Smith

Nurse Practitioner, Acute Care in Traverse City, MI. Individual provider (NPI-1).

NPI number1013671809
StatusActive
Last updated in NPPESAug 1, 2024

Details

NPI
1013671809
Entity type
Individual (NPI-1)
Name
Matthew Nathan Smith
Sex
Male
Sole proprietor
No
Enumeration date
Oct 27, 2021
Certification date
Aug 1, 2024
Last updated
Aug 1, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LA2100X Nurse Practitioner, Acute Care4704306664MIYes

Practice location

1104 Cass St
Traverse City, MI 49684-3236

Phone 231-941-1155 · Fax 231-259-1005

Mailing address

1104 Cass St
Traverse City, MI 49684-3236

Phone 231-941-1155 · Fax 231-259-1005

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