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Individual

JOSEPHINE ELLIE SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
16471 W LINCOLN ST, GOODYEAR, AZ 85338-2559
(602) 517-4141
Mailing address
16471 W LINCOLN ST, GOODYEAR, AZ 85338-2559
(602) 517-4141

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
229432
AZ

Other

Enumeration date
01/20/2025
Last updated
01/20/2025
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