Individual
JUDITH ANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
952 SETON DR, CUMBERLAND, MD 21502-1950
(301) 777-3522
(301) 777-1902
Mailing address
PO BOX 808, CUMBERLAND, MD 21501-0808
(301) 724-1646
(301) 724-7429
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R088490
MD
Other
Enumeration date
11/09/2011
Last updated
11/09/2011
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