Provider Demographics
NPI:1922097336
Name:SMITH, FRANCES T (CANP)
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:T
Last Name:SMITH
Suffix:
Gender:F
Credentials:CANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:319 W LORAIN ST
Mailing Address - Street 2:
Mailing Address - City:OBERLIN
Mailing Address - State:OH
Mailing Address - Zip Code:44074-1027
Mailing Address - Country:US
Mailing Address - Phone:440-775-1881
Mailing Address - Fax:440-774-5707
Practice Address - Street 1:319 W LORAIN ST
Practice Address - Street 2:
Practice Address - City:OBERLIN
Practice Address - State:OH
Practice Address - Zip Code:44074-1027
Practice Address - Country:US
Practice Address - Phone:440-775-1881
Practice Address - Fax:440-774-5707
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN146015363LF0000X
OHNP 1597363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2338858Medicaid
OHSMNP10861Medicare ID - Type Unspecified