Individual
TESSA ELISE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-3048
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-4200
(614) 722-4203
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
19200-NA
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0174711
—
OH
Enumeration date
07/11/2016
Last updated
02/09/2022
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