Individual
KELLY ANN NYE SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 N POTOMAC ST, HAGERSTOWN, MD 21740-4810
(301) 790-4938
Mailing address
17500 YORK RD STE 200, HAGERSTOWN, MD 21740-7599
(301) 908-2525
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R119093
MD
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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