Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elizabeth Marie Smith

Individual provider Nurse Practitioner · NPI 1730712985

Elizabeth Marie Smith is a Nurse Practitioner in Waterloo, New York. Licensed in New York. Registered with an NPI since 2020.

Licensed in
NY
In the registry since
2020
Specialties on file
2

Practice location Address checks out

367 E Main St Ste A
Waterloo, NY 13165-1643
Phone: (315) 787-4977
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 345546 (NY)
Nurse Practitioner Taxonomy 363L00000X · Licence 345546 (NY)

Record details

NPI number1730712985
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 17, 2020
Last updated in NPPESFebruary 24, 2020
Certification dateFebruary 24, 2020
Mailing address367 E Main St Ste A, Waterloo, NY 13165-1643

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