Individual
CHRISTINE JULIANA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
1313 E OSBORN RD, SUITE B150, PHOENIX, AZ 85014-5678
(602) 264-4431
(602) 266-3870
Mailing address
1313 E OSBORN RD, SUITE B150, PHOENIX, AZ 85014-5678
(602) 264-4431
(602) 266-3870
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP2754
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
241508
—
AZ
Enumeration date
08/16/2007
Last updated
12/12/2014
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