Individual
HEATHER IRIS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C, CLT
Contact information
Practice address
3648 W ANTHEM WAY, ANTHEM, AZ 85086-7001
(803) 247-0004
Mailing address
3648 W ANTHEM WAY, ANTHEM, AZ 85086-7001
(480) 324-7000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
126846
OH
363L00000X
Nurse Practitioner
Primary
AP11395
AZ
Other
Enumeration date
04/13/2018
Last updated
01/11/2024
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