Healthcare Provider Details

I. General information

NPI: 1518872647
Provider Name (Legal Business Name): DEANNA D. SMITH RN/COHN-S
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 HIGHWAY 361 BLDG 2516
CRANE IN
47522-4000
US

IV. Provider business mailing address

300 HIGHWAY 361 BLDG 2516
CRANE IN
47522-4000
US

V. Phone/Fax

Practice location:
  • Phone: 812-854-1220
  • Fax:
Mailing address:
  • Phone: 812-854-1220
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0106X
TaxonomyOccupational Health Registered Nurse
License Number28151050A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: