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General NPI Number Information
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NPI Number | 1407230931
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Entity Type | Individual
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Provider Name | ELIZABETH ANNE SMEDLEY FNP
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Gender | Female
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Dates
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Enumeration Date | 07/14/2015
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Last Update Date | 11/17/2025
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Provider Practice Location Address
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Address Line | 1655 E CACTUS AVE
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City | LAS VEGAS
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State | NV
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Zip | 89183-7722
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Country | US
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Telephone | 702-877-0114
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 35380
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City | LAS VEGAS
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State | NV
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Zip | 89133-5380
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NP-1582A
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 813544
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License Number State | NV
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