Healthcare Provider Details

I. General information

NPI: 1730548868
Provider Name (Legal Business Name): NASHORIA K. ACLIS CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: NASHORIA K. SMITH

II. Dates (important events)

Enumeration Date: 02/17/2016
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

809 INDUSTRIAL BLVD # 1106
SMYRNA TN
37167-6894
US

IV. Provider business mailing address

809 INDUSTRIAL BLVD # 1106
SMYRNA TN
37167-6894
US

V. Phone/Fax

Practice location:
  • Phone: 615-473-3993
  • Fax:
Mailing address:
  • Phone: 615-473-3993
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number3010936
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number176551
License Number StateTN
# 3
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number0264343
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: