Provider Demographics
NPI:1740734334
Name:SMITH, CHRISTINA LYNN (DNP, ARNP, NP-C)
Entity type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:LYNN
Last Name:SMITH
Suffix:
Gender:F
Credentials:DNP, ARNP, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3001 58TH TER E
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34203-5374
Mailing Address - Country:US
Mailing Address - Phone:941-720-6985
Mailing Address - Fax:
Practice Address - Street 1:2015 SAINT GEORGE DR
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34208-1539
Practice Address - Country:US
Practice Address - Phone:941-720-6985
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-11
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 3254462363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily