Shatera Nicole Smith
Nurse Practitioner - Gerontology
6769 Rubens Ct
Orlando
, Florida 32818-1344
Shatera Nicole Smith
Nurse Practitioner - Gerontology
6769 Rubens Ct
Orlando
, Florida 32818-1344
(407) 443-0596
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About
Features
Specialties
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Shatera Nicole Smith
- 6769 Rubens Ct
- Orlando, FL
- Zip : 32818-1344
- Phone : (407) 443-0596
Second Address
- Shatera Nicole Smith
- 6769 Rubens Ct
- Orlando, FL
- Zip : 32818-1344
- Phone : (407) 443-0596
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LG0600X | Nurse Practitioner - Gerontology | 11015019 | FL |
National Provider Identifier
| NPI | 1073277406 |
|---|---|
| Provider Name | Shatera Nicole Smith |
| First Address | Orlando, FL 32818-1344 |
| Second Address | Orlando, FL 32818-1344 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/10/2021 |
| Last Update Date | 22/10/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.