Individual
BETTINA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11373 CORTEZ BLVD STE 301, BROOKSVILLE, FL 34613-5411
(352) 293-3467
(352) 293-4438
Mailing address
PO BOX 3399, SPRING HILL, FL 34611-3399
(352) 293-3467
(352) 293-4438
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN11018583
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN11018583
FL
Other
Enumeration date
03/28/2022
Last updated
04/26/2022
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