Individual
MS. KRISTIN N SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
5303 W HACKAMORE DR, GLENDALE, AZ 85310-4418
(623) 266-2690
(623) 337-4224
Mailing address
5303 W HACKAMORE DR, GLENDALE, AZ 85310-4418
(623) 266-2690
(623) 337-4224
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN104595
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2005003310-21
NURSE PRACTITIONER CERTIF
AZ
05
—
949894
—
AZ
Enumeration date
02/17/2006
Last updated
03/07/2023
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