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Phyllis J Smith, CRNA

Nurse Anesthetist, Certified Registered in Towson, MD. Individual provider (NPI-1).

NPI number1619082245
StatusActive
Last updated in NPPESDec 28, 2010

Details

NPI
1619082245
Entity type
Individual (NPI-1)
Name
Mrs. Phyllis J Smith
Credential
CRNA
Sex
Female
Sole proprietor
No
Enumeration date
Aug 21, 2006
Last updated
Dec 28, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367500000X Nurse Anesthetist, Certified RegisteredRN48155DCYes
367500000X Nurse Anesthetist, Certified Registered119768NC

Practice location

6701 N Charles St
Towson, MD 21204-6808

Phone 410-296-4616 · Fax 410-337-5068

Mailing address

110 West Rd
Suite 210
Towson, MD 21204-2316

Phone 410-296-4616 · Fax 410-337-5068

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