Individual
CANDREA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
504 LEWIS ST, HAVRE DE GRACE, MD 21078-3420
(443) 502-5311
(443) 955-5736
Mailing address
612 HEATHLAND TRL, ABERDEEN, MD 21001-3651
(443) 570-8289
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R184963
MD
Other
Enumeration date
09/08/2017
Last updated
09/08/2017
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