Provider Demographics
NPI:1699007278
Name:SMITH, CATHERINE FRANCES (FNP-BC)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:FRANCES
Last Name:SMITH
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4329 ARTHUR AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60513-2307
Mailing Address - Country:US
Mailing Address - Phone:630-209-0209
Mailing Address - Fax:708-202-3835
Practice Address - Street 1:4329 ARTHUR AVE
Practice Address - Street 2:
Practice Address - City:BROOKFIELD
Practice Address - State:IL
Practice Address - Zip Code:60513-2307
Practice Address - Country:US
Practice Address - Phone:630-209-0209
Practice Address - Fax:888-607-8001
Is Sole Proprietor?:No
Enumeration Date:2010-02-05
Last Update Date:2020-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209007924363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner