Individual
MRS. MEGAN ELISE SMITH
Active
Individual
MRS. MEGAN ELISE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AC000803
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
970360-02 & 03
CAREFIRST BC/BS
MD
01
—
S062-0442
CAREFIRST BC/BS REGIONAL
MD
Enumeration date
08/03/2010
Last updated
11/10/2011
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