Healthcare Provider Details

I. General information

NPI: 1932335809
Provider Name (Legal Business Name): ERICKA S SMITH CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/05/2009
Last Update Date: 12/22/2025
Certification Date: 12/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2641 MARYLAND AVE
BALTIMORE MD
21218-4518
US

IV. Provider business mailing address

3 BRAMPTON CT
REISTERSTOWN MD
21136-6431
US

V. Phone/Fax

Practice location:
  • Phone: 410-800-4226
  • Fax:
Mailing address:
  • Phone: 410-218-2974
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR158309
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: