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Individual

DR. AIRELLE RUCKER-SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, CRNP

Contact information

Practice address
9841 WASHINGTONIAN BLVD STE 200, GAITHERSBURG, MD 20878-7350
(240) 720-7797
Mailing address
9841 WASHINGTONIAN BLVD STE 200, GAITHERSBURG, MD 20878-7350
(240) 720-7797

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R197994
MD
363LA2200X
Adult Health Nurse Practitioner
R197994
MD
363LG0600X
Gerontology Nurse Practitioner
R197994
MD
363LP2300X
Primary Care Nurse Practitioner
Primary
R197994
MD
363LW0102X
Women's Health Nurse Practitioner
R197994
MD

Other

Enumeration date
06/18/2019
Last updated
02/25/2022
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