Individual
SHANIA SHERRELL SMALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9201 E MOUNTAIN VIEW RD STE 220, SCOTTSDALE, AZ 85258-5172
(480) 298-7571
Mailing address
253 MAYWOOD DR, MONCKS CORNER, SC 29461-8892
(843) 670-0410
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
28083
SC
Other
Enumeration date
10/31/2023
Last updated
10/31/2023
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