Individual
TATIANA SMALIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
201 REECEVILLE RD, COATESVILLE, PA 19320-1542
(215) 949-5327
(215) 949-5312
Mailing address
PO BOX 8500-1776, PHILADELPHIA, PA 19178-0001
(201) 804-2800
(201) 804-8883
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN538357
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
088742
CRNA
PA
Enumeration date
12/22/2011
Last updated
01/05/2012
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