Smeltzer, Carolyn Dawn

Smeltzer, Carolyn Dawn is an individual health care provider with primary practice located at 9520 W Palm Ln Ste 100 , Phoenix AZ 85037-4403. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Smeltzer, Carolyn Dawn can be contacted via phone (623) 388-3216.

Contact Information

Primary practice address
9520 W Palm Ln Ste 100 Phoenix AZ 85037-4403
Phone: (623) 388-3216
Fax: (623) 388-4902
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X RN147798 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP2820 Arizona

Profile Details

NPI number 1861565251
LBN Legal business name Smeltzer, Carolyn Dawn
Credentials PNP, FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2006
Last updated Feb 3rd, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861565251 NPPES
Tennessee MEDICAID 3348712
Tennessee MEDICAID 048588

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