Amanda R Smith is a Family in Appleton, Wisconsin. Amanda R Smith practices all healthcare services and medical treatments related to Family. The NPI Number for Amanda R Smith is 1306010004. The last update date is 2022-03-07.
Amanda R Smith's current location address is 3916 N Intertech Ct, Appleton, Wisconsin. You can contact this provider via phone number 9209961000. The mailing address for Amanda R Smith is 3916 N Intertech Ct, Appleton, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amanda R Smith |
|---|---|
| Address | 3916 N Intertech Ct, Appleton, Wisconsin |
| Phone Number | 9209961000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | APNP |
NPI Number Detail
| NPI Number | 1306010004 |
|---|---|
| Provider Enumeration Date | 2008-04-15 |
| Last Updated Date | 2022-03-07 |
Provider Mailing Address Detail
| Address | 3916 N Intertech Ct |
|---|---|
| City | Appleton |
| State | Wisconsin (WI) |
| Post Code | 549136957 |
| Phone Number | 9209961000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 3318-33 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1306010004 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Amanda R Smith by the Centers for Medicare & Medicaid Services (CMS)?
The Amanda R Smith has been assigned the NPI (National Provider Identifier) 1306010004. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Amanda R Smith is geographically located?
The Amanda R Smith is physically situated at the following location: 3916 N Intertech Ct, Appleton, WI, 549136957.
What is Amanda R Smith's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Amanda R Smith is Family, and the taxonomy classification code that categorizes this area of expertise is 363Lf0000X.
On what date did the Amanda R Smith receive its 1306010004 assignment from the Centers for Medicare & Medicaid Services?
The Amanda R Smith was assigned its 1306010004 by the Centers for Medicare & Medicaid Services on 2008-04-15.
As of what date was the information regarding Amanda R Smith, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Amanda R Smith, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-03-07.
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