Smith, Maria R

Smith, Maria R is an individual health care provider with primary practice located at 801 Pole Line Rd W Suite 3880, Twin Falls ID 83301-5810. 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, Maria R can be contacted via phone (208) 814-8500.

Contact Information

Primary practice address
801 Pole Line Rd W Suite 3880 Twin Falls ID 83301-5810
Phone: (208) 814-8500
Fax: (208) 814-8960
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP-1391A Idaho

Profile Details

NPI number 1871914168
LBN Legal business name Smith, Maria R
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2014
Last updated Apr 14th, 2014 - about 10 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 1871914168 NPPES
Idaho MEDICAID 1871914168

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