Smith, Gwyndolen
Smith, Gwyndolen is an individual health care provider with primary practice located at 711 E Missouri Ave Ste 100 , Phoenix AZ 85014-2811. She recently has only one registered license in Nursing Service Providers / Licensed Vocational Nurse, which is considered as her primary health care specialty. Smith, Gwyndolen can be contacted via phone (602) 433-1200.Contact Information
Primary practice address
711 E Missouri Ave Ste 100
Phoenix AZ 85014-2811
Phone: (602) 433-1200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Vocational Nurse | 164X00000X | LP042073 | Arizona |
Profile Details
| NPI number | 1053786459 |
|---|---|
| LBN Legal business name | Smith, Gwyndolen |
| Credentials | Licensed Practical Nurse (LPN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 10th, 2015 |
| Last updated | Dec 10th, 2015 - about 10 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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