Individual
ANNETTE SHANNON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ARNP, CRNA
Contact information
Practice address
1700 S TAMIAMI TRL, SARASOTA, FL 34239-3509
(941) 730-1170
Mailing address
24409 BANDONI PL, VENICE, FL 34293-2319
(941) 730-1170
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP3192832
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP3192832
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020844000
—
FL
Enumeration date
12/14/2011
Last updated
08/02/2017
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