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NPI Code Detail

MEDICARE: JULIE MARIE SMYSER CNP

MEDICARE: JULIE MARIE SMYSER CNP
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
1363LF0000XFamily Nurse Practitioner0024165678VA
2363LF0000XFamily Nurse PractitionerCP000635SD

General Provider Information

NPI Number : 1619990181
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE MARIE SMYSER CNP
Provider Business Mailing Address
First Line : 9950 COURTHOUSE RD
Second Line :
City : CHARLES CITY
State : VA
Zip : 23030-3434
Country : US
Telephone Number : 804-829-6600
Fax Number : 804-829-6182
Provider Business Practice Location Address
First Line : 9950 COURTHOUSE RD
Second Line :
City : CHARLES CITY
State : VA
Zip : 23030-3434
Country : US
Telephone Number : 804-829-6600
Fax Number : 804-829-6182
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2006
Last Update Date : 01/15/2015

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Directions to “ JULIE MARIE SMYSER CNP” Practice Location

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