Smith, Lisa A

Smith, Lisa A is an individual health care provider with primary practice located at 509 Se Riverside Dr Suite 203, Stuart FL 34994-2579. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Smith, Lisa A can be contacted via phone (772) 286-5007.

Contact Information

Primary practice address
509 Se Riverside Dr Suite 203 Stuart FL 34994-2579
Phone: (772) 286-5007
Fax: (772) 286-0018
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN9337278 Florida

Profile Details

NPI number 1215946959
LBN Legal business name Smith, Lisa A
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Oct 9th, 2020 - about 4 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 1215946959 NPPES
Florida MEDICAID 004774800
Florida Other Y0A9C

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