| NPI | 1467605691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN NICOLE SMITH Independent Nurse Practitioner 602-524-1927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ RN104595) |
| Enumeration Date | 2008-10-31 |
| Last Update Date | 2008-10-31 |