Individual
MRS. PATRICIA HEID SMOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN CPNP
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21205-2101
(410) 955-5829
Mailing address
2134 PINE VALLEY DR, TIMONIUM, MD 21093-3019
(410) 561-8864
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R070329
MD
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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