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Individual

DANA A SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
58 W CUSHING ST, TUCSON, AZ 85701-2218
(520) 620-0705
(520) 620-0745
Mailing address
PO BOX 43130, TUCSON, AZ 85733-3130
(520) 722-3777
(520) 547-2382

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP0205
AZ
363L00000X
Nurse Practitioner
Primary
RN044296
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
334425
AZ
Enumeration date
06/14/2006
Last updated
07/08/2007
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