Provider Demographics
NPI:1811781016
Name:SMITH, ARLIN T (REGISTER NURSE)
Entity type:Individual
Prefix:
First Name:ARLIN
Middle Name:T
Last Name:SMITH
Suffix:
Gender:
Credentials:REGISTER NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3094 W MARKET ST STE 190
Mailing Address - Street 2:
Mailing Address - City:FAIRLAWN
Mailing Address - State:OH
Mailing Address - Zip Code:44333-3617
Mailing Address - Country:US
Mailing Address - Phone:330-595-9929
Mailing Address - Fax:330-349-5290
Practice Address - Street 1:3094 W MARKET ST STE 190
Practice Address - Street 2:
Practice Address - City:FAIRLAWN
Practice Address - State:OH
Practice Address - Zip Code:44333-3617
Practice Address - Country:US
Practice Address - Phone:330-595-9929
Practice Address - Fax:330-349-5290
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-04
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN-225826163WC1500X, 163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health