Individual
TANYA LYNN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 W THOMAS RD STE 230, PHOENIX, AZ 85013
(602) 406-9999
Mailing address
3030 N CENTRAL AVE STE 1001, PHOENIX, AZ 85012-2716
(602) 406-4786
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP11233
AZ
Other
Enumeration date
05/30/2018
Last updated
08/01/2022
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