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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANE RICHARD SMITH, CRNA

Active Sole Proprietor

SHANE RICHARD SMITH, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in FAIRBANKS, Alaska. NPI 1063137677 is currently active in the NPPES registry. Verify at CMS.

Certified Nurse Anesthetist (CRNA) · FAIRBANKS, AK

Registration Details

NPI Number
1063137677
Provider Type
Individual
Gender
Male
NPI Issued
Oct 5, 2022 (3.8664507600441 yrs)
Last Updated
Oct 5, 2022
License
145179 (AK)
Sole Proprietor
Yes

Practice Information

Address
1650 COWLES ST
FAIRBANKS, AK, 997015907
Browse AK providers · Browse ZIP 99701
Phone
9074528181
Primary Specialty
Certified Nurse Anesthetist (CRNA)
367500000X

Other Certified Nurse Anesthetist (CRNA) Providers in FAIRBANKS, AK

Name Credential NPI
PRISCILLA STODDARD CRNA 1194820159
JANE M HANNAH CRNA 1598860553
MICHAELA LONG CRNA 1356446397
MR. DANNY JOE ROTH CRNA, APN 1164504403
MS. KATHRYN MARLENE WILSON CRNA 1346379443
NICOLE CHERIE BONFOEY CRNA 1639449796
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.