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NPI Code Detail

MEDICARE: MRS. REBECCA M SMITH A.N.P.

MEDICARE: MRS. REBECCA M SMITH A.N.P.
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
1363LA2200XAdult Health Nurse Practitioner0024102437VA

General Provider Information

NPI Number : 1144234337
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. REBECCA M SMITH A.N.P.
Provider Business Mailing Address
First Line : 5875 BREMO RD
Second Line : SUITE 512
City : RICHMOND
State : VA
Zip : 23226-1934
Country : US
Telephone Number : 804-521-5800
Fax Number : 804-545-4340
Provider Business Practice Location Address
First Line : 7401 BEAUFONT SPRINGS DR
Second Line : SUITE 100
City : NORTH CHESTERFIELD
State : VA
Zip : 23225-5520
Country : US
Telephone Number : 804-323-5011
Fax Number : 804-323-5120
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2006
Last Update Date : 01/28/2022

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