SARA NICOLE SMITH

GLENDALE, AZ
NPI1912256744
Former NameSARA NICOLE COPLEY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: AZ  309490)
Additional Taxonomies363LP0200X Nurse Practitioner, Pediatrics
(Licence: NV  APRN001966)
363LP0222X Nurse Practitioner, Pediatrics, Critical Care
(Licence: OH  13818-NP)
363LP0222X Nurse Practitioner, Pediatrics, Critical Care
(Licence: NV  APRN001966)
Enumeration Date2012-09-07
Last Update Date2024-09-16
Business Address
Ms. SARA NICOLE SMITH NP
19007 N 67TH AVE
GLENDALE, AZ 85308-7179
Phone number: 602-933-0016
Mailing Address
Ms. SARA NICOLE SMITH NP
2108 E THOMAS RD STE 130
PHOENIX, AZ 85016-0008
Phone number: 602-933-3124