Individual
ALISSA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3702 AUTOMATION WAY STE 103, FORT COLLINS, CO 80525-5738
(970) 224-2985
Mailing address
3702 AUTOMATION WAY STE 103, FORT COLLINS, CO 80525-5738
(970) 224-2985
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1660470
CO
163W00000X
Registered Nurse
4704324132
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
APN.0994687-CRNA
CO
Other
Enumeration date
02/27/2019
Last updated
09/19/2019
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