Individual
MRS. MYRTLE A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3200 MACCORKLE AVE SE, CHARLESTON, WV 25304
(304) 388-4077
(304) 388-9852
Mailing address
618 EVEREST CIRCLE, ST ALBANS, WV 29177
(304) 722-3559
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
21661
WV
367500000X
Certified Registered Nurse Anesthetist
Primary
29741
WV
Other
Enumeration date
10/24/2006
Last updated
09/11/2025
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