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NPI Code Detail

MEDICARE: CATHY LYNN SMITH APRN

MEDICARE:   CATHY LYNN SMITH  APRN
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
1363L00000XNurse PractitionerARNP704992FL
2363LP0200XPediatric Nurse PractitionerARNP704992FL

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 : 1760763833
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHY LYNN SMITH APRN
Provider Business Mailing Address
First Line : 827 18TH ST
Second Line :
City : VERO BEACH
State : FL
Zip : 32960-6481
Country : US
Telephone Number : 772-925-8200
Fax Number : 772-925-8199
Provider Business Practice Location Address
First Line : 725 N US HIGHWAY 1
Second Line :
City : FORT PIERCE
State : FL
Zip : 34950-9125
Country : US
Telephone Number : 772-468-9900
Fax Number : 772-468-2364
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2011
Last Update Date : 01/26/2026

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Directions to “ CATHY LYNN SMITH APRN” Practice Location

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