Smith, Audrey Ann
Smith, Audrey Ann is an sole proprietor health care provider with primary practice located at 216 Terra Bella Dr , Youngstown OH 44505-1045. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Smith, Audrey Ann can be contacted via phone (330) 520-2221.Contact Information
Primary practice address
216 Terra Bella Dr
Youngstown OH 44505-1045
Phone: (330) 520-2221
Fax: (330) 776-5557
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | NP06525 | Ohio |
Profile Details
| NPI number | 1184615254 |
|---|---|
| LBN Legal business name | Smith, Audrey Ann |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 28th, 2005 |
| Last updated | Jul 21st, 2023 - about last year |
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 | 1184615254 | NPPES |
| Ohio | MEDICAID | 2284960 |
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