Individual
SHAUNA MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, WHNP-BC
Contact information
Practice address
635 E BASELINE RD, PHOENIX, AZ 85042-6551
(602) 243-7277
(602) 243-1235
Mailing address
635 E BASELINE RD, PHOENIX, AZ 85042-6551
(602) 243-7277
(602) 243-1235
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
AP8786
AZ
363LW0102X
Women's Health Nurse Practitioner
RN166198
AZ
Other
Enumeration date
07/13/2016
Last updated
09/02/2016
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