Healthcare Provider Details

I. General information

NPI: 1073914487
Provider Name (Legal Business Name): SM HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2014
Last Update Date: 06/25/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

780 W BEL AIR AVE STE C
ABERDEEN MD
21001
US

IV. Provider business mailing address

2873 TROYER RD
WHITE HALL MD
21161-9321
US

V. Phone/Fax

Practice location:
  • Phone: 833-764-3258
  • Fax:
Mailing address:
  • Phone: 833-764-3258
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR195616
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code163WA0400X
TaxonomyAddiction (Substance Use Disorder) Registered Nurse
License NumberR131473
License Number StateMD
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberD40922
License Number StateMD
# 4
Primary TaxonomyN
Taxonomy Code207RA0401X
TaxonomyAddiction Medicine (Internal Medicine) Physician
License NumberD40922
License Number StateMD

VIII. Authorized Official

Name: NANCY J TURNER
Title or Position: CEO
Credential: RN
Phone: 443-504-3018