| Doctor Name: | DARLENE CANTONE SMITH |
| NPI Number: | 1629121041 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | R053390 |
| Business Practice Address: | 11825 Daniel Dr Nw Lavale, MD - 215024915 |
| Business Phone Number: | 3016874310 |
| Business Fax Number: | 3016873178 |
| Mailing Address: | 11825 Daniel Dr Nw, LAVALE |
| State: | MD |
| Postal Code: | 215024915 |
| Phone Number: | 3016874310 |
| Fax Number: | 3016873178 |
| NPI Enumeration Date: | 01/19/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | R053390 |
| 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: | |