Individual
DONA KRISTINE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4033 BEAVER LN, PORT CHARLOTTE, FL 33952-9206
(941) 625-3200
(941) 624-2358
Mailing address
12201 BLUEGRASS PKWY, LOUISVILLE, KY 40299-2361
(502) 568-7364
(502) 568-7136
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11003700
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN11003700
LICENSE
FL
Enumeration date
10/15/2019
Last updated
10/15/2019
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