Individual
SHIONA MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
15000 N 83RD AVE UNIT 200, PEORIA, AZ 85381-2002
(623) 887-2912
Mailing address
15000 N 83RD AVE UNIT 200, PEORIA, AZ 85381-2002
(623) 887-2912
(480) 882-5085
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
8764
AZ
363AS0400X
Surgical Physician Assistant
Primary
8764
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PEND
PEND
AZ
Enumeration date
11/18/2021
Last updated
01/13/2026
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