Individual
MRS. CARLA D SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1846 E INNOVATION PARK DR, ORO VALLEY, AZ 85755-1963
(520) 771-0555
(262) 260-9109
Mailing address
1910 MADISON AVE STE 2606, MEMPHIS, TN 38104-2620
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2019082731
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
254137
AZ
Other
Enumeration date
12/02/2020
Last updated
01/16/2022
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