Individual
LAURA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
331 OAK MANOR DR STE 203, GLEN BURNIE, MD 21061-5555
(410) 768-0700
Mailing address
737 G ST, PASADENA, MD 21122-4507
(410) 245-3991
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R192857
MD
363LF0000X
Family Nurse Practitioner
Primary
R192857
MD
Other
Enumeration date
06/16/2015
Last updated
03/14/2024
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