Individual
ANDREA ANNMARIE GOULBOURNE-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC
Contact information
Practice address
7369 SHERIDAN ST STE 101, HOLLYWOOD, FL 33024-2776
(954) 561-6222
(954) 990-7650
Mailing address
7261 SHERIDAN ST STE 340, HOLLYWOOD, FL 33024-2726
(954) 561-6222
(954) 990-7650
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2935672
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN2935672
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109518100
—
FL
Enumeration date
08/28/2018
Last updated
01/13/2026
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