National Provider Identifier

Mary Elizabeth Smith, ANP

Mary Elizabeth Smith, ANP is listed in the NPPES registry with a primary specialty of Primary Care Nurse Practitioner in Salamanca, NY and a listed phone number of (716) 945-0361.

NPI 1063599595Salamanca, NYPrimary Care Nurse Practitioner

Profile Overview

NPI
1063599595
Provider Type
Individual
Primary Specialty
Primary Care Nurse Practitioner
Enumeration Date
November 01, 2006
Last Updated
July 09, 2007

Practice Location

  • 4039 Route 219
  • Suite 101
  • Salamanca, NY 14779-9625

Phone: (716) 945-0361

Mailing Address

  • 515 Main St
  • Olean, NY 14760-1513

Specialties

  • Primary Care Nurse Practitioner (363LP2300X)
Full Record
NPI
1063599595
Entity Type
Individual
Last Name
Smith
First Name
Mary
Middle Name
Elizabeth
Credential
ANP
Provider Other Last Name
Smith
Provider Other First Name
Libby
Provider Other Last Name Type Code
2
Mailing Street Address
515 Main St
Mailing City
Olean
Mailing State
NY
Mailing ZIP Code
14760-1513
Mailing Country
US
Mailing Phone
(716) 945-0361
Practice Street Address
4039 Route 219
Practice Address Line 2
Suite 101
Practice City
Salamanca
Practice State
NY
Practice ZIP Code
14779-9625
Practice Country
US
Practice Phone
(716) 945-0361
Enumeration Date
November 01, 2006
Last Updated
July 09, 2007
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Primary Care Nurse Practitioner (363LP2300X)
Other Identifiers
0300F302003 (NY), 000560328002 (NY, Blue Cross)