Smith, Juanita
Smith, Juanita is an individual health care provider with primary practice located at 2200 Fort Jesse Rd Ste 240, Normal IL 61761-6286. 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, Juanita can be contacted via phone (309) 268-9300.Contact Information
Primary practice address
2200 Fort Jesse Rd Ste 240
Normal IL 61761-6286
Phone: (309) 268-9300
Fax: (309) 268-0575
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | Illinois |
Profile Details
| NPI number | 1558348599 |
|---|---|
| LBN Legal business name | Smith, Juanita |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 30th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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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