Smith, Michelle Rae

Smith, Michelle Rae is an individual health care provider with primary practice located at 749 Oxford Dr , Idaho Falls ID 83401-4203. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Midwife, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Smith, Michelle Rae can be contacted via phone (208) 701-2777.

Contact Information

Primary practice address
749 Oxford Dr Idaho Falls ID 83401-4203
Phone: (208) 701-2777
Fax: (208) 369-2854
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 61679 Idaho

Profile Details

NPI number 1801934831
LBN Legal business name Smith, Michelle Rae
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2007
Last updated Dec 19th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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