Individual
LISA MARIE SMITH-HANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-C
Contact information
Practice address
5493 WILES RD STE 106, COCONUT CREEK, FL 33073-4219
(321) 214-4530
Mailing address
5325 LENA RD STE 101, BRADENTON, FL 34211-9442
(941) 301-8485
(941) 799-6841
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11005075
FL
Other
Enumeration date
11/16/2019
Last updated
05/17/2024
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