Individual
MIYOSHI SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
US HWY 86 MARKER 74 HC 01, SAN SIMON HEALTH CTR 8178, SELLS, AZ 85634-9726
(520) 362-7089
(520) 362-7080
Mailing address
HC 1 BOX 8178, ATTN: SAN SIMON HEALTH CENTER US HIGHWAY 86, SELLS, AZ 85634-9726
(520) 362-7089
(520) 362-7080
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP4201
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004236346
—
CT
Enumeration date
09/14/2009
Last updated
10/24/2011
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