Individual
MS. ELIZABETH DENISE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
751 N 215TH AVE, BUCKEYE, AZ 85326-6525
(623) 238-3514
Mailing address
16450 W VAN BUREN ST APT 1066, GOODYEAR, AZ 85338-1604
(317) 260-8074
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN156404
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN156404
—
AZ
Enumeration date
11/21/2019
Last updated
08/18/2021
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