Provider Demographics
NPI:1538595756
Name:SMITH, EMILY Q (FNP)
Entity type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:Q
Last Name:SMITH
Suffix:
Gender:F
Credentials:FNP
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:15600 NE 8TH ST
Mailing Address - Street 2:SUITE A-4
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98008-3927
Mailing Address - Country:US
Mailing Address - Phone:425-643-3331
Mailing Address - Fax:425-643-3332
Practice Address - Street 1:15600 NE 8TH ST
Practice Address - Street 2:SUITE A-4
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98008-3927
Practice Address - Country:US
Practice Address - Phone:425-643-3331
Practice Address - Fax:425-643-3332
Is Sole Proprietor?:No
Enumeration Date:2013-09-19
Last Update Date:2016-10-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH14834363LF0000X
WAAP 60691545363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily