Individual
AMANDA ERB SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
975 E. THIRD STREET, CHATTANOOGA, TN 37403-2147
(423) 778-7608
(423) 778-2360
Mailing address
PO BOX 11225, CHATTANOOGA, TN 37401-2225
(423) 892-5602
(423) 892-5838
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN111076
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
APN14316
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114829
—
AL
05
—
1515847
—
TN
01
—
4238807
BCBS TN
TN
05
—
815168433A
—
GA
Enumeration date
08/06/2009
Last updated
07/28/2010
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