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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871914168 | NPPES |
| Idaho | MEDICAID | 1871914168 |
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