Provider Demographics
NPI:1154121978
Name:SMITH, ELIZABETH Z (FNP)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:Z
Last Name:SMITH
Suffix:
Gender:
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67 WESTFIELD RD
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02888-5428
Mailing Address - Country:US
Mailing Address - Phone:203-952-9187
Mailing Address - Fax:
Practice Address - Street 1:66 BRANCH AVE
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02904-2756
Practice Address - Country:US
Practice Address - Phone:401-606-2590
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-19
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPENDING363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily