Individual
ANNA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
13813 METRO PKWY, FORT MYERS, FL 33912-4343
(239) 936-1343
(239) 936-8507
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(877) 856-3774
(239) 599-2612
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN11005114
FL
363LF0000X
Family Nurse Practitioner
COA.16749-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0113534
—
OH
05
—
108606600
—
FL
05
—
3810028377
—
WV
01
—
OD484
MEDICARE PTAN
FL
01
—
P01528742
RAILROAD MEDICARE - MHCPI
OH
Enumeration date
11/10/2014
Last updated
10/06/2021
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