Smith, Angela Elaine

Smith, Angela Elaine is an individual health care provider with primary practice located at 8331 N Davis Hwy , Pensacola FL 32514-6094. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is her primary health care specialty. Smith, Angela Elaine can be contacted via phone (850) 505-4700.

Contact Information

Primary practice address
8331 N Davis Hwy Pensacola FL 32514-6094
Phone: (850) 505-4700
Fax: (850) 505-4711
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN9473715 Florida
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 130810 Missouri
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X APRN9473715 Florida

Profile Details

NPI number 1821264565
LBN Legal business name Smith, Angela Elaine
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2008
Last updated Apr 26th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821264565 NPPES
Florida MEDICAID 023348800

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