Individual
SCOTT C. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
403 BURKARTH RD, WARRENSBURG, MO 64093-3101
(660) 747-2500
Mailing address
PO BOX 952248, DALLAS, TX 75395-0001
(201) 804-2800
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2011004548
MO
367500000X
Certified Registered Nurse Anesthetist
2011000121
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
RN0000143092
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085519
CRNA
TN
01
—
2011000121
LICENSE
MO
Enumeration date
01/05/2011
Last updated
04/24/2026
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