Individual
NICHOLAS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1900 N HIGLEY RD, GILBERT, AZ 85234-1604
(480) 543-2000
Mailing address
19692 E WALNUT RD, QUEEN CREEK, AZ 85142-7874
(480) 371-9641
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
00000
AZ
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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