Most Relevant Information
Provider Data
| NPI Number: | 1003397944 |
| Provider Name: | ANDREA ANNMARIE GOULBOURNE-SMITH APRN, PMHNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 2935672 |
Most Important Dates
| Enumeration Date: | 08/28/2018 |
| Last Updated: | 01/13/2023 |
Provider Practice Location
7369 SHERIDAN ST STE 101
HOLLYWOOD
FL
330242776
Practice Location Phone/Fax
| Phone: | 9545616222 |
| Fax: | 9549907650 |
Provider Mailing Location
1400 E OAKLAND PARK BLVD STE 210
OAKLAND PARK
FL
333344400
Provider Mailing Phone/Fax
| Phone: | 9545616222 |
| Fax: | 9549907650 |