Individual
BRETTANIE NICOLE SMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1400 N PALAFOX ST, PENSACOLA, FL 32501-2643
(850) 444-9449
Mailing address
10175 CREST RIDGE DR, PENSACOLA, FL 32514-2616
(928) 399-9916
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9477609
FL
363LF0000X
Family Nurse Practitioner
APRN11035360
FL
Other
Enumeration date
09/11/2024
Last updated
09/16/2024
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