NPI Code Details Logo

NPI 1134248396

NPI 1134248396 : KURT M. SMUDZINSKI CRNA : GUNNISON, CO

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1134248396
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    KURT M. SMUDZINSKI CRNA
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    03/28/2007
-----------------------------------------------------
    Last Update Date     |    03/27/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    711 N TAYLOR ST 
-----------------------------------------------------
    City                 |    GUNNISON
-----------------------------------------------------
    State                |    CO
-----------------------------------------------------
    Zip                  |    81230-2296
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    970-641-1456
-----------------------------------------------------
    Fax                  |    970-641-9017
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1 TAMPA GENERAL CIR SUITE A327
-----------------------------------------------------
    City                 |    TAMPA
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33606-3571
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    813-844-7677
-----------------------------------------------------
    Fax                  |    813-844-4972
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    367500000X
-----------------------------------------------------
    Taxonomy Name        |    Certified Registered Nurse Anesthetist
-----------------------------------------------------
    License Number       |    RN-50421
-----------------------------------------------------
    License Number State |    HI
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    367500000X
-----------------------------------------------------
    Taxonomy Name        |    Certified Registered Nurse Anesthetist
-----------------------------------------------------
    License Number       |    ARNP 9353970
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    367500000X
-----------------------------------------------------
    Taxonomy Name        |    Certified Registered Nurse Anesthetist
-----------------------------------------------------
    License Number       |    C-APN.0102603-C-CRNA
-----------------------------------------------------
    License Number State |    CO
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.