Individual provider · Type 1 NPI

Shelby Smith

Pediatric Nurse Practitioner · Washington, DC

NPI number 1962885202 Active

Practice location

111 Michigan Ave NW
Washington, DC 20010-2916

Mailing address

1417 Highland Dr
Silver Spring, MD 20910-1525

Other practice locations

  • 135 W 70th St Apt 1J, New York, NY 10023-4462 · (301) 367-4439

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X687196 (NY)
Pediatric Nurse Practitioner 363LP0200X382605 (NY)
Pediatric Nurse Practitioner Primary 363LP0200XRN1044497 (DC)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1962885202

Shelby Smith's National Provider Identifier is 1962885202, issued on Jul 6, 2015. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Washington, DC. The record was last updated on Mar 17, 2018.