Individual
DEIDRE ALLISON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
301 HOSPITAL DR, GLEN BURNIE, MD 21061-5803
(410) 787-4000
Mailing address
301 HOSPITAL DRIVE, GLEN BURNIE, MD 21061
(410) 787-4000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R187065
MD
Other
Enumeration date
10/25/2016
Last updated
10/25/2016
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