Individual
TANIS AIKEN-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
16440 S 32ND ST, PHOENIX, AZ 85048-7807
(480) 706-7936
Mailing address
11633 S WARPAINT DR, PHOENIX, AZ 85044-3460
(602) 882-1410
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN095548
AZ
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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