Fulgentia Smith, CRNP-PMH
Nurse Practitioner, Psych/Mental Health in Beltsville, MD. Individual provider (NPI-1).
NPI number1043925035
StatusActive
Last updated in NPPESJan 16, 2023
Details
- NPI
- 1043925035
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Fulgentia Smith
- Credential
- CRNP-PMH
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 16, 2023
- Certification date
- Jan 12, 2023
- Last updated
- Jan 16, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | r220646 | MD | Yes |
Practice location
12800 Ledo Creek TerBeltsville, MD 20705-5106
Phone 240-583-9349
Mailing address
12800 Ledo Creek TerBeltsville, MD 20705-5106
Phone 301-502-6460 · Fax 608-305-8787
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