Individual
MARYANN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1117 SW RUM ISLAND TER, FORT WHITE, FL 32038-2332
(386) 454-8572
Mailing address
1117 SW RUM ISLAND TER, FORT WHITE, FL 32038-2332
(386) 454-8572
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
ARNP 1450582
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305679100
—
FL
Enumeration date
06/28/2006
Last updated
02/05/2013
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