Individual
ANGELA MICHELLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.N.P.
Contact information
Practice address
6499 S KINGS RANCH RD, STE 9, GOLD CANYON, AZ 85218-2902
(480) 982-6000
(480) 982-0265
Mailing address
PO BOX 63423, PHOENIX, AZ 85082-3423
(480) 892-2800
(480) 982-1400
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP2415
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123897
—
AZ
Enumeration date
07/25/2006
Last updated
10/12/2009
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