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Individual

CHRISTINA L SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
4801 N DAVIS HWY, PENSACOLA, FL 32503-2342
(850) 474-8988
Mailing address
512 EVENTIDE DR, GULF BREEZE, FL 32561-4875

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
AP04395
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
ARPN9299079
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1450332
LA
05
190676001
TX
Enumeration date
09/20/2006
Last updated
01/29/2013
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