Individual provider · Type 1 NPI

Tatiana G. Smirnova, CRNP

Adult Health Nurse Practitioner · Owings Mills, MD

NPI number 1083685689 Active

Practice location

25 Crossroads Dr, Suite 205
Owings Mills, MD 21117-5421

Fax (410) 602-9889

Mailing address

1589 Sulphur Spring Rd, Suite 109
Baltimore, MD 21227-2542

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XR168730 (MD)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1083685689

Tatiana G. Smirnova, CRNP's National Provider Identifier is 1083685689, issued on Jan 31, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Owings Mills, MD. The record was last updated on Sep 16, 2011.