Individual
MARYANN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2327 W DEWDROP TRL, PHOENIX, AZ 85085-0719
(480) 255-1641
Mailing address
2327 W DEWDROP TRL, PHOENIX, AZ 85085-0719
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
220454
AZ
363LA2100X
Acute Care Nurse Practitioner
220455
AZ
Other
Enumeration date
03/12/2019
Last updated
03/12/2019
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