Individual provider · Type 1 NPI

Carissa L. Smith, PA-C

Medical Physician Assistant · Hartford, CT

NPI number 1518508910 Active

Practice location

80 Seymour Street, Hartford Hospital Neurology Dept
Hartford, CT 06102-8000

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Physician Assistant 363A00000XMA061091 (PA)
Surgical Physician Assistant 363AS0400XNone listed
Medical Physician Assistant Primary 363AM0700X005106 (CT)

Medical Physician Assistant: Definition to come...

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About NPI 1518508910

Carissa L. Smith, PA-C's National Provider Identifier is 1518508910, issued on Oct 7, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Hartford, CT. The record was last updated on Jun 2, 2022.