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Individual
NICOLE CHRISTINA SMITH
Active
Individual
NICOLE CHRISTINA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNM
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
APRN11019008
FL
367A00000X
Advanced Practice Midwife
Primary
APRN11019008
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
236040352
MEDICARE PTAN
IN
05
—
300045317
—
IN
Enumeration date
08/26/2020
Last updated
02/05/2024
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