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Individual

ELIZABETH SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
6410 ROCKLEDGE DR STE 660, BETHESDA, MD 20817-1915
(301) 571-0019
(240) 482-0555
Mailing address
516 58TH ST NE, WASHINGTON, DC 20019-6911

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R239721
MD
363LF0000X
Family Nurse Practitioner
R239721
MD

Other

Enumeration date
09/17/2020
Last updated
02/02/2023
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