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Individual

MS. REBECCA ANN SMITH

Active
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Individual

MS. REBECCA ANN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN,C

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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