Provider Demographics
NPI:1528643426
Name:SMITH, ROWAN CHRISTINE (LM, CPM)
Entity type:Individual
Prefix:
First Name:ROWAN
Middle Name:CHRISTINE
Last Name:SMITH
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2525 DARTMOUTH AVE N
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33713-7817
Mailing Address - Country:US
Mailing Address - Phone:831-418-7186
Mailing Address - Fax:813-669-5739
Practice Address - Street 1:2525 DARTMOUTH AVE N
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33713-7817
Practice Address - Country:US
Practice Address - Phone:831-418-7186
Practice Address - Fax:813-669-5739
Is Sole Proprietor?:No
Enumeration Date:2021-03-11
Last Update Date:2022-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMW400176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife