Healthcare Provider Details

I. General information

NPI: 1679396808
Provider Name (Legal Business Name): AFFINITY HEALTHCARE AND COMMUNITY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2024
Last Update Date: 02/10/2025
Certification Date: 02/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1125 WEST ST STE 516
ANNAPOLIS MD
21401-4198
US

IV. Provider business mailing address

9103 WOODMORE CENTRE DR SUITE 2021
LANHAM MD
20706
US

V. Phone/Fax

Practice location:
  • Phone: 240-258-8807
  • Fax:
Mailing address:
  • Phone: 240-258-8807
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: SHEILA D. SMITH
Title or Position: CEO
Credential: FNP, PMHNP
Phone: 240-258-8807