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NPI Code Detail

MEDICARE: MARYANN SMITH ARNP

MEDICARE:   MARYANN  SMITH  ARNP
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
1367A00000XAdvanced Practice MidwifeARNP 1450582FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548298706
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARYANN SMITH ARNP
Provider Business Mailing Address
First Line : 1117 SW RUM ISLAND TER
Second Line :
City : FORT WHITE
State : FL
Zip : 32038-2332
Country : US
Telephone Number : 386-454-8572
Fax Number :
Provider Business Practice Location Address
First Line : 1117 SW RUM ISLAND TER
Second Line :
City : FORT WHITE
State : FL
Zip : 32038-2332
Country : US
Telephone Number : 386-454-8572
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2006
Last Update Date : 02/05/2013

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