Most Relevant Information
Provider Data
| NPI Number: | 1003521238 |
| Provider Name: | KRISTENE SMITH |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | R177846 |
Most Important Dates
| Enumeration Date: | 01/23/2023 |
| Last Updated: | 01/23/2023 |
Provider Practice Location
800 S FREDERICK AVE STE 200A
GAITHERSBURG
MD
208774116
Practice Location Phone/Fax
| Phone: | 8775880282 |
| Fax: |
Provider Mailing Location
100 LAVENPORT CIR
FREDERICK
MD
217025100
Provider Mailing Phone/Fax
| Phone: | 2404183111 |
| Fax: |