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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NICOLE SMITH, PA

Active

NICOLE SMITH, PA is a Physician Assistant healthcare provider located in BANGOR, Michigan. NPI 1053941674 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · BANGOR, MI

Registration Details

NPI Number
1053941674
Provider Type
Individual
Gender
Female
NPI Issued
Jan 23, 2020 (6.5401722572744 yrs)
Last Updated
Nov 11, 2024
License
5601009812 (MI)

Practice Information

Address
520 RAILROAD ST
BANGOR, MI, 490131490
Browse MI providers · Browse ZIP 49013
Phone
2694275811
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in BANGOR, MI

Name Credential NPI
MRS. SHIRLEY E SANDERS P.A.C. 1932194214
NANCY ANNE VIRGILIO PA C 1619908167
MRS. RHONDA L. SHINAULT P.A.-C 1629097175
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.