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NPI Code Detail

MEDICARE: ANGELA SMITH CRNP

MEDICARE:   ANGELA  SMITH  CRNP
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 PractitionerSP023961PA

General Provider Information

NPI Number : 1831761535
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA SMITH CRNP
Provider Business Mailing Address
First Line : 102 WOODMONT BLVD STE 600
Second Line :
City : NASHVILLE
State : TN
Zip : 37205-5250
Country : US
Telephone Number : 888-987-1151
Fax Number :
Provider Business Practice Location Address
First Line : 4011 COTTMAN AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19135-1005
Country : US
Telephone Number : 215-623-2201
Fax Number : 888-355-6741
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2021
Last Update Date : 01/30/2026

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