Individual
IZABELA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 TRAP FALLS RD, SHELTON, CT 06484-4616
(203) 929-7353
Mailing address
64 S PARK AVE, EASTON, CT 06612-2004
(203) 921-7225
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
779181
NY
163W00000X
Registered Nurse
90168
CT
367500000X
Certified Registered Nurse Anesthetist
Primary
6445
CT
Other
Enumeration date
10/27/2015
Last updated
09/19/2019
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