Individual
MRS. MICHELE E SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
405 12TH STREET EXT, PRINCETON, WV 24740
(304) 425-7243
(304) 487-3525
Mailing address
2116 REID AVE, BLUEFIELD, WV 24701-4440
(304) 327-7921
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
42053
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00297643
RAILROAD MEDICARE
WV
Enumeration date
09/24/2006
Last updated
11/28/2007
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