Individual
ALEXIS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-9595
Mailing address
PO BOX 21420, PIKESVILLE, MD 21282-1420
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R223068
MD
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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