Individual
EILEEN MARY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1700 13TH ST, EVERETT, WA 98201-1689
(917) 370-6104
Mailing address
1660 N PROSPECT AVE UNIT 906, MILWAUKEE, WI 53202-2445
(917) 370-6104
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
60462528
WA
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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