Individual
KRISTINE ANNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP, CRNA
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-6840
Mailing address
1275 YORK AVE, NEW YORK, NY 10065-6007
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
430415
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
087046
NY
Other
Enumeration date
12/22/2008
Last updated
11/23/2020
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