Individual
CAROLYN DAWN SMELTZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP, FNP
Contact information
Practice address
9520 W PALM LN STE 100, PHOENIX, AZ 85037-4403
(623) 388-3216
(623) 388-4902
Mailing address
9520 W PALM LN STE 100, PHOENIX, AZ 85037-4403
(623) 388-3216
(623) 388-3216
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
RN147798
AZ
363LF0000X
Family Nurse Practitioner
Primary
AP2820
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
048588
—
AZ
05
—
3348712
—
TN
Enumeration date
11/16/2006
Last updated
02/03/2023
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