Healthcare Provider Details

I. General information

NPI: 1467428706
Provider Name (Legal Business Name): TRICIA JOANN SMATHERS CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2006
Last Update Date: 04/12/2022
Certification Date: 04/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 CARLISLE ST
NATRONA HEIGHTS PA
15065-1152
US

IV. Provider business mailing address

1699 WASHINGTON RD STE 307
PITTSBURGH PA
15228-1629
US

V. Phone/Fax

Practice location:
  • Phone: 724-224-5100
  • Fax:
Mailing address:
  • Phone: 412-831-3744
  • Fax: 412-831-3744

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN349045L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: