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NPI Code Detail

MEDICARE: BRANDI R SMITH APRN, PMHNP-BC

MEDICARE: BRANDI R SMITH APRN, PMHNP-BC
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 PractitionerAPRN.CNP.0026922OH
2251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1RN290241OTHEROHNURSING BOARD
2APRN.CNP.0026922OTHEROHNURSING BOARD

General Provider Information

NPI Number : 1851809461
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRANDI R SMITH APRN, PMHNP-BC
Provider Business Mailing Address
First Line : 5685 N RIVER RD
Second Line :
City : WATERVILLE
State : OH
Zip : 43566-9744
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2460 CHERRY ST
Second Line :
City : TOLEDO
State : OH
Zip : 43608-2667
Country : US
Telephone Number : 419-244-3053
Fax Number : 419-244-1100
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2018
Last Update Date : 12/08/2025

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