Individual
ELIZABETH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16982 W BRADFORD WAY, SURPRISE, AZ 85374-1836
(719) 355-4150
Mailing address
16982 W BRADFORD WAY, SURPRISE, AZ 85374-1836
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
328305
AZ
Other
Enumeration date
09/30/2025
Last updated
11/18/2025
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