Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Roddale Marise Smith, APRN-CNP

Individual provider Nurse Practitioner · NPI 1104594621

Mr. Roddale Marise Smith, APRN-CNP is a Nurse Practitioner in Cincinnati, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2021

Practice location Address checks out

3333 Burnet Ave
Cincinnati, OH 45229-3026
Phone: (513) 636-4100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN.CNP.0029923 (OH)

Record details

NPI number1104594621
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN-CNP
Sole proprietorYes
NPI enumeratedAugust 31, 2021
Last updated in NPPESFebruary 23, 2022
Certification dateFebruary 23, 2022
Mailing address3333 Burnet Ave, Cincinnati, OH 45229-3026

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