Smith, Cynthia Lee

Smith, Cynthia Lee is an individual health care provider with primary practice located at 515 N Mesa Dr , Mesa AZ 85201-5914. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Smith, Cynthia Lee can be contacted via phone (480) 844-6285.

Contact Information

Primary practice address
515 N Mesa Dr Mesa AZ 85201-5914
Fax: (480) 844-4154
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN055481 Arizona

Profile Details

NPI number 1821059189
LBN Legal business name Smith, Cynthia Lee
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Dec 13th, 2007 - about 17 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 1821059189 NPPES
Arizona MEDICAID 773540

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