Individual
MICHELLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
287 E HUNT HWY STE 105, SAN TAN VALLEY, AZ 85143-5096
(480) 677-8282
Mailing address
261 N ROOSEVELT AVE, CHANDLER, AZ 85226-2617
(480) 677-8282
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP4238
AZ
364SC0200X
Critical Care Medicine Clinical Nurse Specialist
AP4238
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
888297
—
AZ
Enumeration date
11/01/2011
Last updated
02/01/2023
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