Individual
KIERSTEN MANUELLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
844 WASHINGTON RD, WESTMINSTER, MD 21157-6664
(410) 876-2003
(410) 848-3009
Mailing address
8110 MAPLE LAWN BLVD STE 235, FULTON, MD 20759-2694
(301) 340-8339
(301) 340-9027
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
R219956
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R219956
LICENSE
MD
Enumeration date
06/17/2020
Last updated
12/01/2023
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