Individual
GENEVA GERTRUDE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.C.N.P.
Contact information
Practice address
16222 N 59TH AVE, SUITE A100, GLENDALE, AZ 85306-1701
(623) 334-4000
(623) 334-4400
Mailing address
3008 N DOBSON RD, STE 2, CHANDLER, AZ 85224-1295
(480) 496-2699
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN132657
AZ
363LA2100X
Acute Care Nurse Practitioner
681651
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
AP2132
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199155601
—
TX
05
—
199155602
—
TX
01
—
8Y9072
BCBS
—
Enumeration date
06/06/2006
Last updated
12/21/2022
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