| NPI Details | |
|---|---|
| NPI | 1538474333 |
| Gender | Female |
| Enumeration Date | 08/17/2010 |
| Last Updated | 08/17/2010 |
| Entity Type | Individual |
| Active | Over 6 years ago |
| Practice Location | |
|---|---|
| 516 NIZHONI BLVD GALLUP NM, 87301-5748, US |
|
| Phone | (505) 722-1000 |
| Fax | (505) 722-1310 |
| Business Location | |
|---|---|
| PO BOX 1337 GALLUP NM, 87305-1337, US |
|
| Phone | (505) 722-1000 |
| Fax | (505) 722-1310 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 163W00000X |
| License State | North Carolina |
| License Number | 212318 |
| Remove 1538474333 NPI Number | |
According to our database, Crystal Reneal Smith RN NPI is 1538474333, taxonomy code is 163W00000X and license number is 212318, license state is located at North Carolina. Crystal Reneal Smith RN physically located at 516 Nizhoni Blvd, Gallup NM, 87301-5748. NPI Number Crystal Reneal Smith RN has the Individual type.
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1538474333 NPI number is provided on an as is basis without warranty of any kind. 1538474333 is maintained by the National Plan & Provider Enumeration System. The contents of Crystal Reneal Smith RN are for informational purposes only.
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