Individual
CARRIE L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
740 N MACOMB ST, MONROE, MI 48162-7813
(734) 240-5238
Mailing address
740 N MACOMB ST, MONROE, MI 48162-7813
(734) 240-5238
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704207344
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4666362
—
MI
01
—
CS207344
BLUE CROSS OF MI
MI
Enumeration date
04/27/2006
Last updated
07/08/2007
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