Provider Demographics
NPI:1801823737
Name:SMITH, ANNE MARIE (CRNA)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:MARIE
Last Name:SMITH
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8220 LAKEWOOD RANCH BLVD
Mailing Address - Street 2:UNIT 323
Mailing Address - City:LAKEWOOD RANCH
Mailing Address - State:FL
Mailing Address - Zip Code:34202-4237
Mailing Address - Country:US
Mailing Address - Phone:678-296-4923
Mailing Address - Fax:
Practice Address - Street 1:8220 LAKEWOOD RANCH BLVD
Practice Address - Street 2:UNIT 323
Practice Address - City:LAKEWOOD RANCH
Practice Address - State:FL
Practice Address - Zip Code:34202-4237
Practice Address - Country:US
Practice Address - Phone:678-296-4923
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2022-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 9401400367500000X
GARN170283367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
GARN107283OtherRN LICENSE