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NPI Code Detail

MEDICARE: BETHANY JOY SMITH CNP

MEDICARE:   BETHANY JOY SMITH  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 PractitionerNP09832OH

General Provider Information

NPI Number : 1730355009
Entity Type Code : Individual
Provider Name (Legal Business Name) : BETHANY JOY SMITH CNP
Provider Business Mailing Address
First Line : PO BOX 933132
Second Line :
City : CLEVELAND
State : OH
Zip : 44193-0001
Country : US
Telephone Number : 330-724-5471
Fax Number :
Provider Business Practice Location Address
First Line : 1400 S ARLINGTON ST UNIT 38
Second Line :
City : AKRON
State : OH
Zip : 44306-3771
Country : US
Telephone Number : 330-724-5471
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2008
Last Update Date : 11/07/2017

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