Individual
DANIELLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2635 KIDWELL PL, ELLICOTT CITY, MD 21043-4586
(443) 804-8379
Mailing address
2635 KIDWELL PL, ELLICOTT CITY, MD 21043-4586
(443) 804-8379
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R211276
MD
Other
Enumeration date
08/30/2019
Last updated
08/30/2019
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