Individual
DEIDRE VIAN GOLDSMITH
Active
Individual
DEIDRE VIAN GOLDSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R141638
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178200200
—
MD
01
—
454MH697
TRAILBLAZER
MD
Enumeration date
06/28/2005
Last updated
09/16/2009
Update your record
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