Smith, Marie Augustina

Smith, Marie Augustina is an individual health care provider with primary practice located at 1220 Willis Ave , Daytona Beach FL 32114-2810. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Smith, Marie Augustina can be contacted via phone (352) 575-0832.

Contact Information

Primary practice address
1220 Willis Ave Daytona Beach FL 32114-2810
Phone: (352) 575-0832
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP11238 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X ARNP9328552 Florida

Profile Details

NPI number 1619219375
LBN Legal business name Smith, Marie Augustina
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2013
Last updated Jun 10th, 2019 - about 5 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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