Individual
CRAIG R SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, CRNA
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
041.401242
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209013492
IL
367500000X
Certified Registered Nurse Anesthetist
7542-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100067523
—
WI
Enumeration date
10/16/2015
Last updated
12/20/2024
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