NPI 1063137677

Shane Richard Smith, CRNA

Practitioner Certified Registered Nurse Anesthetist Fairbanks, AK

Practice location

Address: 1650 Cowles St, Fairbanks, AK 99701-5907
Phone: (907) 452-8181
Mailing address: 2 N 3000 E, Sugar City, ID 83448-1220

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 145179 (AK)

Other Nurse Anesthetist, Certified Registered providers in Alaska →

Registry record

NPI: 1063137677
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Oct 2022
Record last updated: 5 Oct 2022

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.