Individual
EDMUNDO SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1126 HARTFORD AVE, JOHNSTON, RI 02919-7109
(401) 519-1940
(401) 351-6613
Mailing address
1126 HARTFORD AVE, JOHNSTON, RI 02919-7109
(401) 519-1940
(401) 351-6613
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN02389
RI
363LF0000X
Family Nurse Practitioner
ETL01150
RI
363LF0000X
Family Nurse Practitioner
RN276874
MA
Other
Enumeration date
12/04/2014
Last updated
03/27/2024
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