Healthcare Provider Details

I. General information

NPI: 1952460230
Provider Name (Legal Business Name): CLAIRE ANN SMITH CNOR, RNFA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/06/2006
Last Update Date: 06/27/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4814 SE 11TH PL
OCALA FL
34471-8517
US

IV. Provider business mailing address

4814 SE 11TH PL
OCALA FL
34471-8517
US

V. Phone/Fax

Practice location:
  • Phone: 523-572-5994
  • Fax:
Mailing address:
  • Phone: 352-572-5994
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License NumberRN2104372
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: