Provider Demographics
NPI:1225268030
Name:SMITH, ELIZABETH PENELOPE (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:PENELOPE
Last Name:SMITH
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Gender:F
Credentials:NURSE PRACTITIONER
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Mailing Address - Street 1:3800 RESERVOIR RD NW
Mailing Address - Street 2:GEORGETOWN UNVERSITY HOSPITAL NURSING OFFICE MAIL BOX
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20007-2113
Mailing Address - Country:US
Mailing Address - Phone:202-444-6251
Mailing Address - Fax:202-444-5866
Practice Address - Street 1:3800 RESERVOIR RD NW
Practice Address - Street 2:GEORGETOWN UNVERSITY HOSPITAL NURSING OFFICE MAIL BOX
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007-2113
Practice Address - Country:US
Practice Address - Phone:202-444-6251
Practice Address - Fax:202-444-5866
Is Sole Proprietor?:No
Enumeration Date:2009-07-15
Last Update Date:2009-07-15
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Provider Licenses
StateLicense IDTaxonomies
DCRN29184363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health