Smith, Elizabeth Denise

Smith, Elizabeth Denise is an sole proprietor health care provider with primary practice located at 751 N 215Th Ave , Buckeye AZ 85326-6525. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Smith, Elizabeth Denise can be contacted via phone (623) 238-3514.

Contact Information

Primary practice address
751 N 215Th Ave Buckeye AZ 85326-6525
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X RN156404 Arizona

Profile Details

NPI number 1477199792
LBN Legal business name Smith, Elizabeth Denise
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 21st, 2019
Last updated Aug 18th, 2021 - about 4 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 1477199792 NPPES
Arizona MEDICAID RN156404

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