Provider Demographics
NPI:1154820140
Name:SMITH, NATALIE (APRN)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:
Last Name:SMITH
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3390 TAMIAMI TRL
Mailing Address - Street 2:
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33952-8157
Mailing Address - Country:US
Mailing Address - Phone:239-215-2778
Mailing Address - Fax:833-941-1231
Practice Address - Street 1:2401 UNIVERSITY PKWY STE 202
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34243-2973
Practice Address - Country:US
Practice Address - Phone:941-360-2579
Practice Address - Fax:941-360-2580
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-06
Last Update Date:2025-03-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLAPRN9494435363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology