Individual
MRS. DONNA J. SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
6581 SE BALTUSROL TER, STUART, FL 34997-8679
(631) 487-8960
Mailing address
6581 SE BALTUSROL TERR, STUART, FL 34997
(631) 487-8960
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9347776
FL
Other
Enumeration date
11/07/2017
Last updated
09/08/2022
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