Individual
SAMANTHA ASHLEY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1263 S GEORGE ST # A, CHARLES TOWN, WV 25414-4384
(443) 383-9300
(855) 866-8710
Mailing address
909 RIDGEBROOK RD STE 300, SPARKS GLENCOE, MD 21152-9477
(443) 383-9300
(855) 866-8710
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
89411
WV
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
114263
WV
Other
Enumeration date
10/03/2022
Last updated
11/23/2022
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