Provider Demographics
NPI:1891148516
Name:SMITH, GAITHER (CNM)
Entity Type:Individual
Prefix:MS
First Name:GAITHER
Middle Name:
Last Name:SMITH
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
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Mailing Address - Street 1:8110 MAPLE LAWN BLVD STE 235
Mailing Address - Street 2:
Mailing Address - City:FULTON
Mailing Address - State:MD
Mailing Address - Zip Code:20759-2693
Mailing Address - Country:US
Mailing Address - Phone:301-340-8339
Mailing Address - Fax:301-340-9027
Practice Address - Street 1:1715 N GEORGE MASON DR STE 302
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22205-3652
Practice Address - Country:US
Practice Address - Phone:703-816-4152
Practice Address - Fax:703-527-1169
Is Sole Proprietor?:No
Enumeration Date:2016-07-18
Last Update Date:2021-10-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CORN.1637580163W00000X
COAPN.0992442-CNM367A00000X
VA0024175701367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No163W00000XNursing Service ProvidersRegistered Nurse