Desiree Smith, LPN
Licensed Practical Nurse in Cincinnati, OH. Individual provider (NPI-1).
NPI number1649090010
StatusActive
Last updated in NPPESOct 11, 2024
Details
- NPI
- 1649090010
- Entity type
- Individual (NPI-1)
- Name
- Desiree Smith
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 11, 2024
- Certification date
- Oct 11, 2024
- Last updated
- Oct 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 186345 | OH | Yes |
Practice location
1435 Bercliff AveCincinnati, OH 45223-1807
Phone 513-996-9431
Mailing address
1435 Bercliff AveCincinnati, OH 45223-1807
Phone 513-996-9431
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