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:
Health care specialties
Specialty | Code | License # | 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 last year |
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 | 1992030696 | NPPES |
Florida | MEDICAID | 113873900 |
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