Individual provider · Type 1 NPI
Nicole Small, CRNP
Family Nurse Practitioner · Glen Burnie, MD
NPI number
1073997607
Active
Practice location
7831 Stonebriar Dr
Glen Burnie, MD 21060-8392
Mailing address
7831 Stonebriar Dr Ste 200
Glen Burnie, MD 21060-8392
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | R226246 (MD) |
Family Nurse Practitioner: Definition to come...
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About NPI 1073997607
Nicole Small, CRNP's National Provider Identifier is 1073997607, issued on Jul 14, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Glen Burnie, MD. The record was last updated on Aug 2, 2024.