Healthcare Provider Details

I. General information

NPI: 1457452054
Provider Name (Legal Business Name): ERIN C SMITH APRN/CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 09/26/2023
Certification Date: 09/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

724 NW 43RD ST
GAINESVILLE FL
32607-6110
US

IV. Provider business mailing address

724 NW 43RD ST
GAINESVILLE FL
32607-6110
US

V. Phone/Fax

Practice location:
  • Phone: 352-332-7222
  • Fax: 352-332-7330
Mailing address:
  • Phone: 352-332-7222
  • Fax: 352-332-7330

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberAPRN9333884
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number235528
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number275921
License Number StateMA
# 4
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberNMW1560
License Number StateCA
# 5
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number9333884
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: