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NPI Code Detail

MEDICARE: ANDREA J SMITH CRNP

MEDICARE: ANDREA J SMITH CRNP
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 PractitionerRN621439PA
2363LF0000XFamily Nurse PractitionerSP028252PA

General Provider Information

NPI Number : 1619658770
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA J SMITH CRNP
Provider Business Mailing Address
First Line : 601 MEMORY LN
Second Line :
City : YORK
State : PA
Zip : 17402-2231
Country : US
Telephone Number : 717-851-1405
Fax Number :
Provider Business Practice Location Address
First Line : 100 FREDERICK ST STE 101
Second Line :
City : HANOVER
State : PA
Zip : 17331-3518
Country : US
Telephone Number : 717-851-7050
Fax Number : 717-632-7478
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2023
Last Update Date : 05/06/2026

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