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Organization
MAGNOLIA PSYCHIATRIC SERVICES PLLC
Active
Organization
MAGNOLIA PSYCHIATRIC SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NADINE ANNICA SMITH NP (PSYCHIATRIC NURSE PRACTITIONER)
(443) 823-6626
Entity
Organization
Contact information
Practice address
7100 GUILFORD DR # 2071, FREDERICK, MD 21704-5257
(360) 567-8466
(660) 951-7859
Mailing address
4400 NE 77TH AVE STE 275, VANCOUVER, WA 98662-6857
(360) 567-8466
(660) 951-7859
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/22/2018
Last updated
03/10/2026
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