Organization
PRN NP MEDICAL SERVICES LLC
Active
Other names
PRN NP Medical Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
VANQUIECE SMITH NP (HEAD NURSE PRACTITIONER)
(850) 737-9214
Entity
Organization
Contact information
Practice address
2942 N 24TH ST STE 114, PHOENIX, AZ 85016-7849
(623) 526-5835
Mailing address
2942 N 24TH ST STE 114, PHOENIX, AZ 85016-7849
(623) 526-5835
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/03/2020
Last updated
08/03/2020
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