Individual
CHRISTINE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2002 MEDICAL PKWY, 670, ANNAPOLIS, MD 21401-3046
(443) 481-1176
(410) 224-0065
Mailing address
PO BOX 12622, BELFAST, ME 04915-4017
(443) 481-5047
(443) 481-6515
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R140846
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
067669100
—
MD
Enumeration date
03/26/2010
Last updated
09/09/2015
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