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Individual

WENDY SMITH

Active
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Individual

WENDY SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
51371
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51371
ADVANCED PRACTICE LICENSE
LA
01
85759
RN LICENSE
LA
Enumeration date
06/09/2006
Last updated
03/29/2011
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