Individual
MS. EMMA JANE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
541 E 71ST STREET 1ST FLOOR, NEW YORK, NY 10021
(212) 774-2878
(212) 774-2798
Mailing address
541 E 71ST STREET 1ST FLOOR, NEW YORK, NY 10021
(212) 774-2878
(212) 774-2798
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F308522
NY
363LA2200X
Adult Health Nurse Practitioner
F308522
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740788504
NPI
NY
Enumeration date
01/26/2018
Last updated
07/19/2021
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