Individual
ELIZABETH LEE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1390 W 16TH ST, YUMA, AZ 85364-4430
(928) 344-4325
Mailing address
2400 S AVENUE A, YUMA, AZ 85364-7170
(928) 344-2000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
13-136494-011
KS
363L00000X
Nurse Practitioner
Primary
290996
AZ
Other
Enumeration date
01/31/2023
Last updated
11/02/2023
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