Individual
MS. KATHLEEN ANN SMERKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, PSY NP BC
Contact information
Practice address
1110 E MISSOURI AVE, STE 640, PHOENIX, AZ 85014-2735
(602) 235-9505
(602) 235-9506
Mailing address
1110 E MISSOURI AVE, STE 640, PHOENIX, AZ 85014-2735
(602) 235-9505
(602) 235-9506
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN071540
AZ
Other
Enumeration date
08/10/2006
Last updated
10/17/2016
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