Provider Demographics
NPI:1699244368
Name:SMART NURSING LLC
Entity type:Organization
Organization Name:SMART NURSING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LATOYA
Authorized Official - Middle Name:
Authorized Official - Last Name:GAUNTLETT-FREEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:631-867-6757
Mailing Address - Street 1:106 SARONA CIR
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-4320
Mailing Address - Country:US
Mailing Address - Phone:631-867-6757
Mailing Address - Fax:
Practice Address - Street 1:106 SARONA CIR
Practice Address - Street 2:
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-4320
Practice Address - Country:US
Practice Address - Phone:631-867-6757
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-24
Last Update Date:2018-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty