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General NPI Number Information
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NPI Number | 1477740629
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Entity Type | Individual
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Provider Name | ANGELA M SMITH CRNA
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Gender | Female
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Dates
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Enumeration Date | 10/02/2007
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Last Update Date | 05/27/2026
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Provider Practice Location Address
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Address Line | 1041 3RD AVE STE 200
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City | NEW YORK
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State | NY
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Zip | 10065-8114
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Country | US
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Telephone | 212-362-3470
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 82
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City | BYRNEDALE
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State | PA
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Zip | 15827-0082
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Country | US
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Telephone | 724-991-9703
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 26NR12401700
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | NJ 26NR12401700
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 624922
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License Number State | NY
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