Smith, Diedre

Smith, Diedre is an sole proprietor health care provider with primary practice located at 9624 Maxson Drive , Land O Lakes FL 34638. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Agencies / Day Training, Developmentally Disabled Services, Nursing Service Providers / Community Health, Other Service Providers / Community Health Worker. Nursing Service Providers / Registered Nurse is her primary health care specialty. Smith, Diedre can be contacted via phone (813) 751-4718.

Contact Information

Primary practice address
9624 Maxson Drive Land O Lakes FL 34638
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN9419981 Florida
Agencies / Day Training, Developmentally Disabled Services 251C00000X RN9419981 Florida
Nursing Service Providers / Community Health 163WC1500X RN9419981 Florida
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1548634157
LBN Legal business name Smith, Diedre
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 19th, 2015
Last updated Aug 15th, 2016 - about 9 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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