Whalio Doctors

NPI 1003188699

Nicholas Grant Smith, CRNA

Practitioner Certified Registered Nurse Anesthetist Temple, TX

Practice location

Address
2401 S 31st St, Temple, TX 76504-7115
Phone
(254) 724-2111
Mailing address
2803 Ira Young Dr APT 3111, Temple, TX 76504-6323

Registered specialties (2)

Certified Registered Nurse Anesthetist Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 814527 (TX)
Certified Registered Nurse Anesthetist
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 120081 (LA)

Registry record

NPI
1003188699
Entity type
Individual
Sex (as registered)
Male
NPI issued
30 Jan 2012
Record last updated
8 May 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.