LAURA B SMITH-TUCKER FNP NPI 1912167347

NPI Information

NPI: 1912167347
Provider Name: LAURA B SMITH-TUCKER, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
121 MEDICAL CENTER DR
SUITE 3400
BRUNSWICK, ME
ZIP 04011
Phone: (207) 406-7300
Get Directions

Laura B Smith-tucker, FNP is a family nurse practitioner in Brunswick, ME with 16 years of experience. Laura B Smith-tucker, FNP NPI is 1912167347. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

121 MEDICAL CENTER DR
SUITE 3400
BRUNSWICK, ME
ZIP 04011-653
Phone: (207) 406-7300
Fax: (207) 406-7301

The NPI 1912167347 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/10/2008 and was last updated on 2/12/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WR0006X	Registered Nurse	Registered Nurse First Assistant	R052972	MAINE	No
2	363LF0000X	Nurse Practitioner	Family	R052972	MAINE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1515001	MEDICARE PIN	MAINE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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