Individual
MADELINE KIDD SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1200B N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(801) 574-4297
Mailing address
498 W PHILOMENA DR, FLAGSTAFF, AZ 86001-1367
(801) 574-4297
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
271687
AZ
Other
Enumeration date
03/01/2022
Last updated
03/01/2022
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