Smith, Emily Rose
Smith, Emily Rose is an individual health care provider with primary practice located at 1350 Hickory St , Melbourne FL 32901-3224. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Smith, Emily Rose can be contacted via phone (321) 434-1401.Contact Information
Primary practice address
1350 Hickory St
Melbourne FL 32901-3224
Phone: (321) 434-1401
Fax: (321) 434-1667
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | APRN9367274 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 9367274 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | APRN9367274 | Florida |
Profile Details
| NPI number | 1518255348 |
|---|---|
| LBN Legal business name | Smith, Emily Rose |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2011 |
| Last updated | Nov 3rd, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518255348 | NPPES |
| Florida | Other | 9367274 | AANC |
| Florida | MEDICAID | 116224700 | AANC |
| Florida | Other | NS822 | AANC |
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