# KRISTIN N SMITH PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467605691
- **Authorized official:** KRISTIN NICOLE SMITH ANP-C, RNFA (INDEPENDENT NURSE PRACTITIONER)
- **Authorized official phone:** (602) 524-1927

## Contact information

- **Practice address:** 5303 W HACKAMORE DR, PHOENIX, AZ 85083-4418
- **Practice address phone:** (623) 266-2690
- **Practice address fax:** (623) 337-4224
- **Mailing address:** 5303 W HACKAMORE DR, PHOENIX, AZ 85083-4418
- **Mailing address phone:** (623) 266-2690
- **Mailing address fax:** (623) 337-4224

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | RN104595 | AZ | Yes |

## Other

- **Enumeration date:** 10/31/2008
- **Last updated:** 10/31/2008