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NPI Code Detail

MEDICARE: RONNI ARNOLD SMITH CRNA

MEDICARE: RONNI ARNOLD 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 AnesthetistAP01517LA

Other Identifiers

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

General Provider Information

NPI Number : 1619951571
Entity Type Code : Individual
Provider Name (Legal Business Name) : RONNI ARNOLD SMITH CRNA
Provider Business Mailing Address
First Line : 207 RIVER GATE DR
Second Line :
City : LAFAYETTE
State : LA
Zip : 70508-6737
Country : US
Telephone Number : 337-993-1332
Fax Number :
Provider Business Practice Location Address
First Line : 2390 W CONGRESS ST
Second Line :
City : LAFAYETTE
State : LA
Zip : 70506-4205
Country : US
Telephone Number : 337-261-6027
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2005
Last Update Date : 07/08/2007

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