Individual
MRS. ANA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
15652 LEMON FISH DR, LAKEWOOD RANCH, FL 34202-5844
(941) 320-7054
Mailing address
15652 LEMON FISH DR, LAKEWOOD RANCH, FL 34202-5844
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9312510
FL
Other
Enumeration date
12/10/2012
Last updated
12/10/2012
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