Individual
MARILYN RUTH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C APRN
Contact information
Practice address
6273 EQUINE DR, CRESTVIEW, FL 32536-4383
(561) 271-0621
(850) 331-3233
Mailing address
6273 EQUINE DR, CRESTVIEW, FL 32536-4383
(561) 271-0621
(850) 331-3233
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
ARNP9176708
FL
Other
Enumeration date
12/02/2011
Last updated
09/20/2022
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