Individual
BONNIE SMITH
Active
Individual
BONNIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
499938-1
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
4999381
NY
Other
Enumeration date
01/26/2007
Last updated
02/02/2012
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