MEDICARE: MARGO B SMITH NP

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	363LF0000X	Family Nurse Practitioner	0024169442	VA

General Provider Information

NPI Number	:	1851674170
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGO B SMITH NP

Provider Business Mailing Address
First Line	:	7007 HARBOUR VIEW BLVD
Second Line	:	SUITE 108
City	:	SUFFOLK
State	:	VA
Zip	:	23435-3657
Country	:	US
Telephone Number	:	757-215-2784
Fax Number	:	757-215-2728

Provider Business Practice Location Address
First Line	:	3253 TAYLOR RD
Second Line	:	SUITE 200
City	:	CHESAPEAKE
State	:	VA
Zip	:	23321-2452
Country	:	US
Telephone Number	:	757-686-5673
Fax Number	:	757-686-8694

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

Provider Enumeration Date	:	09/22/2011
Last Update Date	:	04/17/2025

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