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Individual

BRANDI SMITH

Active
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Individual

BRANDI SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11013090
FL
363LF0000X
Family Nurse Practitioner
4704216827
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11013090
FLORIDA APRN LICENSE
FL
05
4704216827
MI
Enumeration date
01/12/2016
Last updated
04/21/2022
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