Provider Demographics
NPI: | 1528561081 |
---|---|
Name: | SMITH, ADRIANA (ARNP) |
Entity Type: | Individual |
Prefix: | |
First Name: | ADRIANA |
Middle Name: | |
Last Name: | SMITH |
Suffix: | |
Gender: | F |
Credentials: | ARNP |
Other - Prefix: | MRS |
Other - First Name: | ADRIANA |
Other - Middle Name: | |
Other - Last Name: | MARINESCU |
Other - Suffix: | |
Other - Last Name Type: | Former Name |
Other - Credentials: | |
Mailing Address - Street 1: | 6804 CECELIA DR |
Mailing Address - Street 2: | |
Mailing Address - City: | NEW PORT RICHEY |
Mailing Address - State: | FL |
Mailing Address - Zip Code: | 34653-4935 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 855-232-0644 |
Mailing Address - Fax: | 888-546-0488 |
Practice Address - Street 1: | 6804 CECELIA DR |
Practice Address - Street 2: | |
Practice Address - City: | NEW PORT RICHEY |
Practice Address - State: | FL |
Practice Address - Zip Code: | 34653-4935 |
Practice Address - Country: | US |
Practice Address - Phone: | 855-232-0644 |
Practice Address - Fax: | 888-546-0488 |
Is Sole Proprietor?: | No |
Enumeration Date: | 2018-03-12 |
Last Update Date: | 2022-08-16 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
OH | APRN.CNP.0029642 | 363LF0000X |
FL | ARNP9354989 | 363LF0000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
F10170486 | Other | AMERICAN ACADEMY OF NURSE PRACTITIONERS NATIONAL CERTIFICATION BOARD |