Doctor Name: | MS. TARA SHANNON SMITH |
NPI Number: | 1285608703 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | C.N.M. |
License Number: | 0001146963 |
Business Practice Address: | 26005 Ridge Rd Suite 200 Damascus, MD - 208721892 |
Business Phone Number: | 3014142300 |
Business Fax Number: | 3014142306 |
Mailing Address: | 26005 Ridge Rd, Suite 200 DAMASCUS |
State: | MD |
Postal Code: | 208721892 |
Phone Number: | 3014142300 |
Fax Number: | 3014142306 |
NPI Enumeration Date: | 02/13/2006 |
NPI Last Update Date: | 02/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163W00000X |
License Number: | 0001146963 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N. |