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NPI Code Detail

MEDICARE: ISABELLA MARIE SMITH

MEDICARE: ISABELLA MARIE SMITH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1700743283
Entity Type Code : Individual
Provider Name (Legal Business Name) : ISABELLA MARIE SMITH
Provider Business Mailing Address
First Line : 5685 N RIVER RD
Second Line :
City : WATERVILLE
State : OH
Zip : 43566-9744
Country : US
Telephone Number : 419-244-3053
Fax Number :
Provider Business Practice Location Address
First Line : 2460 CHERRY ST
Second Line :
City : TOLEDO
State : OH
Zip : 43608-2667
Country : US
Telephone Number : 419-244-3053
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2026
Last Update Date : 01/07/2026

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Directions to “ ISABELLA MARIE SMITH ” Practice Location

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