Smith, Misty D

Smith, Misty D is an sole proprietor health care provider with primary practice located at 620 Manassas Cir , Bossier City LA 71112-4842. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Smith, Misty D can be contacted via phone (318) 458-9088.

Contact Information

Primary practice address
620 Manassas Cir Bossier City LA 71112-4842
Phone: (318) 458-9088
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 794816 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP06370 Louisiana

Profile Details

NPI number 1790077089
LBN Legal business name Smith, Misty D
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 5th, 2011
Last updated Jul 29th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790077089 NPPES
Louisiana Other 794816 LIC #

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