| Doctor Name: | MRS. DEIRDRE O'REILLY SMITH |
| NPI Number: | 1619947884 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, ANP-C |
| License Number: | R083055 |
| Business Practice Address: | 2480 Llewellyn Ave Ft Meade, MD - 207555800 |
| Business Phone Number: | 3016778333 |
| Business Fax Number: | 3016778399 |
| Mailing Address: | 8802 Bluebird Trce, SCAGGSVILLE |
| State: | MD |
| Postal Code: | 207231294 |
| Phone Number: | 3017257220 |
| Fax Number: | |
| NPI Enumeration Date: | 01/23/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | R083055 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |