Smith, Sara Kristine
Smith, Sara Kristine is an individual health care provider with primary practice located at 515 Ne Glen Oak Ave Ste 202 , Peoria IL 61603. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Smith, Sara Kristine can be contacted via phone (309) 624-4455.Contact Information
Primary practice address
515 Ne Glen Oak Ave Ste 202
Peoria IL 61603
Phone: (309) 624-4455
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 209017253 | Illinois |
Profile Details
| NPI number | 1073015319 |
|---|---|
| LBN Legal business name | Smith, Sara Kristine |
| Credentials | AGACNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 2nd, 2018 |
| Last updated | Dec 6th, 2022 - about 4 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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