Individual
SHELBY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(301) 367-4439
Mailing address
1417 HIGHLAND DR, SILVER SPRING, MD 20910-1525
(301) 367-4439
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
687196
NY
363LP0200X
Pediatric Nurse Practitioner
382605
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
RN1044497
DC
Other
Enumeration date
07/06/2015
Last updated
03/17/2018
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