Most Relevant Information
Provider Data
| NPI Number: | 1003232562 |
| Provider Name: | HOLLY SUE SMITS LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 4703111783 |
Most Important Dates
| Enumeration Date: | 03/07/2014 |
| Last Updated: | 03/07/2014 |
Provider Practice Location
72 SHELDON BLVD SE
2ND FLOOR
GRAND RAPIDS
MI
495034234
Practice Location Phone/Fax
| Phone: | 6167423051 |
| Fax: | 6167423070 |
Provider Mailing Location
1559 MULLINS AVE NW
GRAND RAPIDS
MI
495342432
Provider Mailing Phone/Fax
| Phone: | 6167420531 |
| Fax: | 6167420370 |