Individual
MARLEY NICOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5777 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 342-2000
Mailing address
PO BOX 860912, MINNEAPOLIS, MN 55486-0912
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11219
AZ
Other
Enumeration date
05/15/2024
Last updated
09/26/2025
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