VIVIAN R. SMITH

KINGMAN, AZ
NPI1851305981
Former NameVIVIAN RHODES / PENCE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AZ  3390)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: HI  APRN-931)
363LF0000X Nurse Practitioner, Family
(Licence: CA  16175)
Enumeration Date2006-07-27
Last Update Date2013-06-24
Business Address
-- VIVIAN R. SMITH NP
3931 STOCKTON HILL RD STE D
KINGMAN, AZ 86409-2426
Phone number: 928-681-5800
Mailing Address
-- VIVIAN R. SMITH NP
PO BOX 15070
SCOTTSDALE, AZ 85267-5070
Phone number: 928-681-5800