Smith, Patricia R

Smith, Patricia R is an sole proprietor health care provider with primary practice located at 1407 York Rd Suite 309, Lutherville MD 21093-6097. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Smith, Patricia R can be contacted via phone (410) 825-2281.

Contact Information

Primary practice address
1407 York Rd Suite 309 Lutherville MD 21093-6097
Fax: (410) 825-0757
Website:

Profile Details

NPI number 1336156587
LBN Legal business name Smith, Patricia R
Credentials CRNP/PMH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2006
Last updated Mar 7th, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336156587 NPPES
Maryland MEDICAID 361LE325
Maryland Other N57763
Maryland MEDICAID 010736J69

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