Individual
ADENA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1000 S BECKHAM AVE, TYLER, TX 75701-1908
(903) 597-0351
Mailing address
7 HILLSIDE DR, WILLS POINT, TX 75169-9634
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
678577
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
678577
TX
Other
Enumeration date
02/14/2012
Last updated
05/04/2016
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