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NPI Code Detail

MEDICARE: NATALIA SMIRNOVA RN

MEDICARE: NATALIA SMIRNOVA RN
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerF406759NY

General Provider Information

NPI Number : 1700493657
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALIA SMIRNOVA RN
Provider Business Mailing Address
First Line : 9114 37TH AVE
Second Line :
City : JACKSON HEIGHTS
State : NY
Zip : 11372-7920
Country : US
Telephone Number : 718-779-1600
Fax Number :
Provider Business Practice Location Address
First Line : 9114 37TH AVE
Second Line :
City : JACKSON HEIGHTS
State : NY
Zip : 11372-7920
Country : US
Telephone Number : 718-779-1600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2020
Last Update Date : 12/08/2025

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