Individual
STEPHANIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
2720 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20032-2601
(202) 203-0744
Mailing address
2720 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20032-2601
(202) 203-0744
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
RN1053579
DC
Other
Enumeration date
08/12/2022
Last updated
08/12/2022
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