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

SUSAN CHRISTINE SMITH, RN

Active

Nurse Practitioner · GRANGEVILLE, ID

Registration Details

NPI Number
1306460852
Provider Type
Individual
Gender
Female
NPI Issued
Jun 1, 2020 (5.9173537391453 yrs)
Last Updated
Dec 23, 2020
Licenses
34969 (ID)
66063 (ID)

Practice Information

Address
607 W MAIN ST
GRANGEVILLE, ID, 835301345
Browse ID providers · Browse ZIP 83530
Phone
2089839590
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Providers in GRANGEVILLE, ID

Name Credential NPI
WILLIAM MARK IMUS JR. FNP 1902836802
MRS. JENNIFER CARRIE LESSO NP-C 1225396211
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.