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NPI Code Detail

MEDICARE: MRS. CALLIE ANN SMITH ARNP

MEDICARE: MRS. CALLIE ANN 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
1363LF0000XFamily Nurse PractitionerARNP2841192FL

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 : 1710356282
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CALLIE ANN SMITH ARNP
Provider Business Mailing Address
First Line : 18743 NW 234TH ST
Second Line :
City : HIGH SPRINGS
State : FL
Zip : 32643-0465
Country : US
Telephone Number : 386-454-0721
Fax Number : 386-454-0722
Provider Business Practice Location Address
First Line : 18743 NW 234TH ST
Second Line :
City : HIGH SPRINGS
State : FL
Zip : 32643-0465
Country : US
Telephone Number : 386-454-0721
Fax Number : 386-454-0722
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2015
Last Update Date : 02/07/2025

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Directions to “ MRS. CALLIE ANN SMITH ARNP” Practice Location

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