MEDICARE: ROBERT T SMITHING MSN ARNP

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
1	363L00000X	Nurse Practitioner	AP30001312	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023004611
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT T SMITHING MSN ARNP

Provider Business Mailing Address
First Line	:	10024 SE 240TH ST
Second Line	:	201
City	:	KENT
State	:	WA
Zip	:	98031-5124
Country	:	US
Telephone Number	:	253-859-2273
Fax Number	:	253-850-8894

Provider Business Practice Location Address
First Line	:	10024 SE 240TH ST
Second Line	:	201
City	:	KENT
State	:	WA
Zip	:	98031-5124
Country	:	US
Telephone Number	:	253-859-2273
Fax Number	:	253-850-8894

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2005
Last Update Date	:	07/22/2022

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