Smith, Pandora
Smith, Pandora is an individual health care provider with primary practice located at 1106 Annapolis Rd Ste 310 , Odenton MD 21113-1744. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Smith, Pandora can be contacted via phone (410) 874-1400.Contact Information
Primary practice address
1106 Annapolis Rd Ste 310
Odenton MD 21113-1744
Phone: (410) 874-1400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APRN-2880 | Hawaii |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 1030660 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AC005646 | Maryland |
Profile Details
| NPI number | 1922623578 |
|---|---|
| LBN Legal business name | Smith, Pandora |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2020 |
| Last updated | Jun 14th, 2024 - about 5 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922623578 | NPPES |
| Texas | MEDICAID | 429198101 | |
| Texas | Other | 429198102 |
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