Individual
KIMBERLY A OWENS-SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C, PMHNP-BC,
Contact information
Practice address
2445 E BASELINE RD STE 133, PHOENIX, AZ 85042-7090
(480) 677-8282
(844) 470-2777
Mailing address
261 N ROOSEVELT AVE, CHANDLER, AZ 85226-2617
(480) 677-8282
(844) 470-2777
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
292149
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
292149
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204723
—
AZ
Enumeration date
09/10/2009
Last updated
07/02/2025
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