Individual
CARRIE LYNN SMALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
42505 N 9TH AVE, PHOENIX, AZ 85086
(602) 550-0309
(602) 532-7582
Mailing address
42505 N 9TH AVE, PHOENIX, AZ 85086-7122
(602) 550-0309
(602) 532-7582
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP4135
AZ
Other
Enumeration date
07/26/2011
Last updated
05/23/2018
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