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NPI Code Detail

MEDICARE: TODD S SMITH CRNA

MEDICARE: TODD S 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 Anesthetist55158TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
34048956OTHERTNBCBS
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437147154
Entity Type Code : Individual
Provider Name (Legal Business Name) : TODD S SMITH CRNA
Provider Business Mailing Address
First Line : 110 29TH AVE N STE 202
Second Line :
City : NASHVILLE
State : TN
Zip : 37203-1448
Country : US
Telephone Number : 615-327-4304
Fax Number : 615-327-7940
Provider Business Practice Location Address
First Line : 651 DUNLOP LN
Second Line :
City : CLARKSVILLE
State : TN
Zip : 37040-5015
Country : US
Telephone Number : 931-551-1795
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2005
Last Update Date : 06/04/2014

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