Individual
SARAH BEATRICE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1851 MESQUITE AVE STE 210, LAKE HAVASU CITY, AZ 86403-5681
(928) 854-7540
Mailing address
4387 S HEATHER AVE, FORT MOHAVE, AZ 86426-6491
(760) 985-8427
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN166916
AZ
363LA2100X
Acute Care Nurse Practitioner
Primary
AP11077
AZ
Other
Enumeration date
02/08/2018
Last updated
03/20/2018
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