Individual
ELIZABETH D SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP, ANP-C
Contact information
Practice address
300 ESSJAY RD, WILLIAMSVILLE, NY 14221-8208
(716) 445-2013
(716) 839-6740
Mailing address
300 ESSJAY RD, WILLIAMSVILLE, NY 14221-8208
(716) 445-2013
(716) 839-6740
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
415198
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F305061
NY
363LP0200X
Pediatric Nurse Practitioner
F381387
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00027840501
UNIVERA
—
01
—
000560590002
BC/BS
—
05
—
02345462
—
NY
01
—
061212000042
FIDELIS
—
01
—
9512029
IHA
—
Enumeration date
10/25/2006
Last updated
04/29/2024
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