Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | ARNP9402723 | FL |
NPI | 1003298035 |
---|---|
Provider Name | Natacha Smith |
First Address | Orlando, FL 34746-4094 |
Second Address | Orlando, FL 32809-4094 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2015 |
Last Update Date | 02/09/2016 |