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Organization
KATHLEEN A SMERKO PMHNP-BC LLC
Active
Organization
KATHLEEN A SMERKO PMHNP-BC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN ANN SMERKO MS., PSY NP., BC. (SOLE PROPRIETER)
(602) 235-9505
Entity
Organization
Contact information
Practice address
1121 E MISSOURI AVE STE 104, PHOENIX, AZ 85014-2723
(602) 235-9506
(602) 235-9506
Mailing address
1121 E MISSOURI AVE STE 104, PHOENIX, AZ 85014-2723
(602) 235-9506
(602) 235-9506
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN071540
AZ
Other
Enumeration date
05/22/2015
Last updated
05/22/2015
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