Individual
ADRIENNE L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
699 W COCOA BEACH CSWY STE 401, COCOA BEACH, FL 32931
(321) 784-5437
Mailing address
134 S WOODS DR, ROCKLEDGE, FL 32955-3262
(321) 636-3066
(321) 636-2545
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP 9220199
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009579300
—
FL
01
—
ARNP9220199
LICENSE NO.
FL
Enumeration date
02/01/2011
Last updated
10/15/2019
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