Individual
PATRICIA D SMITH-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
500 J CLYDE MORRIS BLVD, NEWPORT NEWS, VA 23601-1929
(757) 594-2000
Mailing address
PO BOX 2564, MACON, GA 31203
(478) 746-5644
(478) 745-4849
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024169167
VA
367500000X
Certified Registered Nurse Anesthetist
RN1146675CRNA
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00845017B
—
GA
01
—
430076324
RAILROAD MEDICARE
GA
Enumeration date
08/04/2006
Last updated
05/24/2019
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