Healthcare Provider Details

I. General information

NPI: 1396219770
Provider Name (Legal Business Name): ERIN A SMITH CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/18/2019
Last Update Date: 08/14/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 INDEPENDENCE PLAZA STE 900
BIRMINGHAM AL
35209-2643
US

IV. Provider business mailing address

1 INDEPENDENCE PLAZA STE 900
BIRMINGHAM AL
35209-2643
US

V. Phone/Fax

Practice location:
  • Phone: 205-271-8000
  • Fax: 205-271-8050
Mailing address:
  • Phone: 205-848-2925
  • Fax: 334-377-4417

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number1-123155
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: