Individual
PENNY LYNN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
8403 COLESVILLE RD., #1100, SILVERSPRING, MD 20910
(443) 383-9300
Mailing address
909 RIDGEBROOK RD, STE 300, SPARKS, MD 21152
(443) 383-9300
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R255677
MD
Other
Enumeration date
10/03/2024
Last updated
10/09/2024
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