Individual provider · Type 1 NPI

Kelly Smidebush, ARNP

Nurse Practitioner · Crestview, FL

NPI number 1104176833 Active

Practice location

129 E Redstone Ave, Suite A
Crestview, FL 32539-5350

Fax (850) 682-6302

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XARNP9279024 (FL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

2 other providers at this address

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About NPI 1104176833

Kelly Smidebush, ARNP's National Provider Identifier is 1104176833, issued on Sep 10, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Crestview, FL. The record was last updated on Oct 5, 2012.