Individual provider · Type 1 NPI

Kelly Payne Smith, NP

Nurse Practitioner · Mequon, WI

NPI number 1588173199 Active

Practice location

10554 N Port Washington Rd
Mequon, WI 53092-5537

Fax (262) 241-5816

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X7838-33 (WI)
Nurse Practitioner Primary 363L00000X7838-33 (WI)

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…

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About NPI 1588173199

Kelly Payne Smith, NP's National Provider Identifier is 1588173199, issued on Sep 26, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Mequon, WI. The record was last updated on May 10, 2019.