Individual
JACQUELINE SMYTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-0111
Mailing address
45 BLACK COVE RD, EAST WATERBORO, ME 04030-5716
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA243049
ME
Other
Enumeration date
04/04/2023
Last updated
07/29/2024
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