Individual provider · Type 1 NPI
Stacy B. Smartt-Gibson
Addiction (Substance Use Disorder) Registered Nurse · Washington, DC
NPI number
1114503596
Active
Practice location
2112 F St NW, Ste 102
Washington, DC 20037
Fax (202) 822-9130
Mailing address
6356 Goral Ct
Waldorf, MD 20603-4319
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Registered Nurse Primary | 163WA0400X | RN1032487 (DC) |
Addiction (Substance Use Disorder) Registered Nurse: Definition to come...
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About NPI 1114503596
Stacy B. Smartt-Gibson's National Provider Identifier is 1114503596, issued on Mar 24, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Registered Nurse (163WA0400X), and the practice location is in Washington, DC. The record was last updated on Mar 24, 2021.