Individual
ELIZABETH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
302 EL CAMINO REAL, STE 11AB, SIERRA VISTA, AZ 85635-2860
(520) 459-1914
(520) 452-2227
Mailing address
302 EL CAMINO REAL, STE 5, SIERRA VISTA, AZ 85635-2860
(520) 458-4335
(520) 452-2232
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R041677
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
383916
—
AZ
Enumeration date
01/12/2006
Last updated
10/04/2010
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