Individual
RENAE LYNN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2002 N STOCKTON HILL RD STE 103, KINGMAN, AZ 86401-4698
(928) 681-8755
Mailing address
2002 N STOCKTON HILL RD STE 103, KINGMAN, AZ 86401-4698
(928) 681-8755
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
294962
AZ
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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