Smith Walsh, Dawn

Smith Walsh, Dawn is an sole proprietor health care provider with primary practice located at 14910 N. Dale Mabry Hwy # 342203, Tampa FL 33618. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Smith Walsh, Dawn can be contacted via phone (813) 838-1740.

Contact Information

Primary practice address
14910 N. Dale Mabry Hwy # 342203 Tampa FL 33618
Phone: (813) 838-1740
Fax: (813) 575-9171
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X APRN11006514 Florida
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN11006514 Florida
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APRN11006514 Florida

Profile Details

NPI number 1992030696
LBN Legal business name Smith Walsh, Dawn
Credentials APRN, AGNP, PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 14th, 2009
Last updated Feb 15th, 2023 - about 2 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 1992030696 NPPES
Florida MEDICAID 113873900

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