Individual
SHELIA JANELL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
167 NORTH MAIN STREET, TUBA CITY, AZ 86045-0600
(928) 283-2501
Mailing address
PO BOX 600, TUBA CITY, AZ 86045-0600
(928) 283-2501
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
105896
LA
163W00000X
Registered Nurse
Primary
139252
AZ
Other
Enumeration date
09/22/2008
Last updated
09/22/2008
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