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NPI Code Detail

MEDICARE: LEANNE SMITH CRNA

MEDICARE: LEANNE SMITH CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist213672NC

General Provider Information

NPI Number : 1386647808
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEANNE SMITH CRNA
Provider Business Mailing Address
First Line : 5025 AIRPORT CENTER PKWY
Second Line : BLDG L
City : CHARLOTTE
State : NC
Zip : 28208-5885
Country : US
Telephone Number : 704-512-7105
Fax Number :
Provider Business Practice Location Address
First Line : 920 CHURCH ST N
Second Line :
City : CONCORD
State : NC
Zip : 28025-2927
Country : US
Telephone Number : 704-403-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2005
Last Update Date : 07/21/2022

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Directions to “ LEANNE SMITH CRNA” Practice Location

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