Smith, Tina L

Smith, Tina L is an individual health care provider with primary practice located at 1202 N Muskogee Pl , Claremore OK 74017-3058. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Smith, Tina L can be contacted via phone (918) 392-4456.

Contact Information

Primary practice address
1202 N Muskogee Pl Claremore OK 74017-3058
Phone: (918) 392-4456
Fax: (918) 392-4465
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R0044810 Missouri

Profile Details

NPI number 1265406383
LBN Legal business name Smith, Tina L
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated May 16th, 2008 - about 16 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 1265406383 NPPES
Oklahoma Other 1285810051 MEDICARE GROUP PIN
Oklahoma MEDICAID 100785450B MEDICARE GROUP PIN

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