Individual
MS. REBECCA ANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN,C
Contact information
Practice address
42 E LAUREL RD STE 1800, STRATFORD, NJ 08084-1338
(856) 566-6843
(856) 566-6419
Mailing address
461 WEYMOUTH RD, BUENA, NJ 08310-1625
(609) 226-1565
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ00126900
NJ
364SA2100X
Acute Care Clinical Nurse Specialist
26NJ00126900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0311880
—
NJ
01
—
808486
MEDICARE ID
NJ
Enumeration date
05/19/2007
Last updated
06/25/2024
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