Organization
KRISTIN N SMITH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN NICOLE SMITH ANP-C, RNFA (INDEPENDENT NURSE PRACTITIONER)
(602) 524-1927
Entity
Organization
Contact information
Practice address
5303 W HACKAMORE DR, PHOENIX, AZ 85083-4418
(623) 266-2690
(623) 337-4224
Mailing address
5303 W HACKAMORE DR, PHOENIX, AZ 85083-4418
(623) 266-2690
(623) 337-4224
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN104595
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174598775
CURRENT INDIVIDUAL NPI NUMBER
—
05
—
949894
—
AZ
Enumeration date
10/31/2008
Last updated
10/31/2008
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