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NPI Code Detail

MEDICARE: VALERIE SMITH ISMAIL APRN

MEDICARE:   VALERIE SMITH ISMAIL  APRN
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
1363L00000XNurse PractitionerAPRN11003664FL
2364SP0808XPsychiatric/Mental Health Clinical Nurse SpecialistAPRN11003664FL
3363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN11003664FL

General Provider Information

NPI Number : 1316596489
Entity Type Code : Individual
Provider Name (Legal Business Name) : VALERIE SMITH ISMAIL APRN
Provider Business Mailing Address
First Line : 340 SAPPHIRE LAKE DR UNIT 101
Second Line :
City : BRADENTON
State : FL
Zip : 34209-3445
Country : US
Telephone Number : 352-516-8991
Fax Number : 954-206-0526
Provider Business Practice Location Address
First Line : 340 SAPPHIRE LAKE DR UNIT 101
Second Line :
City : BRADENTON
State : FL
Zip : 34209-3445
Country : US
Telephone Number : 352-516-8991
Fax Number : 954-206-0526
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2019
Last Update Date : 01/04/2026

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Directions to “ VALERIE SMITH ISMAIL APRN” Practice Location

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