Individual
CRYSTAL MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2401 BRANDERMILL BLVD STE 310, GAMBRILLS, MD 21054-1604
(410) 451-8952
(410) 451-8954
Mailing address
6358 BEECHFIELD AVE, ELKRIDGE, MD 21075-5614
(410) 952-7944
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
R157938
MD
Other
Enumeration date
07/12/2017
Last updated
03/17/2018
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