Individual
ELIZABETH ANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2772 RUTLAND RD, DAVIDSONVILLE, MD 21035-1228
(410) 721-2273
Mailing address
2772 RUTLAND RD, DAVIDSONVILLE, MD 21035-1228
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R226609
MD
Other
Enumeration date
03/10/2017
Last updated
03/10/2017
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