Individual
TANYA F SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA, DNP
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-7890
Mailing address
2700 NEILSON WAY APT 221, SANTA MONICA, CA 90405-4012
(504) 416-0717
(504) 977-0970
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP05549
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05521364
—
MS
05
—
1340871
—
LA
01
—
95000156
CRNA LICENSE
CA
Enumeration date
09/30/2008
Last updated
02/20/2024
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