Individual
MILLISSA K SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5555 W THUNDERBIRD RD, GLENDALE, AZ 85306-4622
(602) 865-5445
Mailing address
5555 W THUNDERBIRD RD, GLENDALE, AZ 85306-4622
(602) 865-5445
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
235926
AZ
Other
Enumeration date
01/02/2020
Last updated
09/13/2021
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