Individual
CYNTHIA LEE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
515 N MESA DR, MESA, AZ 85201-5914
(480) 844-6285
(480) 844-4154
Mailing address
1612 W STOTTLER DR, CHANDLER, AZ 85224-2663
(480) 963-9417
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN055481
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
773540
—
AZ
Enumeration date
03/28/2006
Last updated
12/13/2007
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