Individual
MRS. ALLISON LENORE DYESS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1900 DON WICKHAM DR, CLERMONT, FL 34711-1979
(352) 394-4071
Mailing address
890 LANDRUM DR, WINTER GARDEN, FL 34787-3073
(251) 232-0558
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9259315
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9259315
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001518700
—
FL
01
—
1841427796
TRICARE
—
01
—
G900A
BLUE CROSS BLUE SHIELD FL
FL
Enumeration date
06/18/2009
Last updated
05/03/2024
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