Individual
CHARNEQUA D SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1150 45TH ST, WEST PALM BEACH, FL 33407-2361
(561) 514-5300
(561) 514-5538
Mailing address
9175 RAMBLEWOOD DR APT 532, CORAL SPRINGS, FL 33071-7066
(678) 360-4401
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
ARNP9354194
FL
363LW0102X
Women's Health Nurse Practitioner
Primary
ARNP9354194
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00892400
—
FL
Enumeration date
05/21/2013
Last updated
08/15/2017
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