Smith, Ann Louise
Smith, Ann Louise is an individual health care provider with primary practice located at 801 7Th Ave , Fort Worth TX 76104-2733. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Smith, Ann Louise can be contacted via phone (682) 885-4054.Contact Information
Primary practice address
801 7Th Ave
Fort Worth TX 76104-2733
Phone: (682) 885-4054
Fax: (682) 885-1033
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent | 163WP0807X | 579494 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 579494 | Texas |
Profile Details
| NPI number | 1093778201 |
|---|---|
| LBN Legal business name | Smith, Ann Louise |
| Credentials | PHD, CPNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 10th, 2006 |
| Last updated | Jul 24th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093778201 | NPPES |
| Texas | Other | 220124602 | CSHCN |
| Texas | MEDICAID | 220124601 | CSHCN |
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