Individual
WESLYNNE SUE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
861 S 165TH DR, GOODYEAR, AZ 85338-4590
(480) 848-2219
Mailing address
861 S 165TH DR, GOODYEAR, AZ 85338-4590
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
95175158
CA
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN197635
AZ
Other
Enumeration date
01/28/2026
Last updated
01/28/2026
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