MEDICARE: AMY L SMITH MSN, CNM

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
1	367A00000X	Advanced Practice Midwife
2	176B00000X	Midwife
3	367A00000X	Advanced Practice Midwife	APRN.CNM.03884	OH
4	367A00000X	Advanced Practice Midwife	ARNP9258147	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	7WFC3	OTHER	FL	FLORIDA BLUE
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659396612
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY L SMITH MSN, CNM

Provider Business Mailing Address
First Line	:	1 SEAGATE # 800
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43604-1558
Country	:	US
Telephone Number	:	419-291-4000
Fax Number	:	419-824-7359

Provider Business Practice Location Address
First Line	:	1220 E ELM ST STE 101
Second Line	:
City	:	LIMA
State	:	OH
Zip	:	45804-2803
Country	:	US
Telephone Number	:	419-228-8245
Fax Number	:	419-998-8247

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2006
Last Update Date	:	11/08/2024

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Directions to “ AMY L SMITH MSN, CNM” Practice Location

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