Individual
ANDREA LYN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PMHNP-BC
Contact information
Practice address
4995 BRADENTON AVE STE 130, DUBLIN, OH 43017-3551
(614) 580-6917
(614) 368-1357
Mailing address
4995 BRADENTON AVE STE 130, DUBLIN, OH 43017-3551
(614) 580-6917
(614) 368-1357
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.406371
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0031735
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0495853
—
OH
Enumeration date
07/07/2022
Last updated
08/04/2022
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