Individual
MRS. MARTHA DELLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1818 ALBION ST, NASHVILLE, TN 37208-2918
(404) 357-1612
Mailing address
2035 VALENCIA TER, CHARLOTTE, NC 28226-3312
(404) 357-1612
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
12378
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
240346
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3600064
—
TN
05
—
36000641
—
TN
01
—
4155771
BCBS
TN
01
—
7100012730
KY MEDICAID
KY
05
—
8053870
—
NC
05
—
NAN973
—
SC
Enumeration date
03/20/2007
Last updated
09/13/2011
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