MRS. KELLY SMIDEBUSH, ARNP
Nurse Practitioner
Active
Individual
NPI: 1104176833
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner | 363L00000X | Yes | ARNP9279024 (FL) |
Frequently Asked Questions
NPI 1104176833 is the National Provider Identifier for MRS. KELLY SMIDEBUSH, ARNP, a Nurse Practitioner provider located in Crestview, FL. This NPI was enumerated on September 10, 2012.
MRS. KELLY SMIDEBUSH, ARNP practices at 129 E REDSTONE AVE, SUITE A, Crestview, FL 32539.
Quick Facts
- NPI
- 1104176833
- Type
- Individual
- Enumerated
- Sep 10, 2012
- Last Updated
- Oct 5, 2012
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