Smith, Edmundo

Smith, Edmundo is an individual health care provider with primary practice located at 1126 Hartford Ave , Johnston RI 02919-7109. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Smith, Edmundo can be contacted via phone (401) 519-1940.

Contact Information

Primary practice address
1126 Hartford Ave Johnston RI 02919-7109
Phone: (401) 519-1940
Fax: (401) 351-6613
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN276874 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ETL01150 Rhode Island
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN02389 Rhode Island

Profile Details

NPI number 1710384896
LBN Legal business name Smith, Edmundo
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2014
Last updated Mar 27th, 2024 - 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.

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