Smith, Kristin N
Smith, Kristin N is an sole proprietor health care provider with primary practice located at 5303 W Hackamore Dr , Glendale AZ 85310-4418. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Smith, Kristin N can be contacted via phone (623) 266-2690.Contact Information
Primary practice address
5303 W Hackamore Dr
Glendale AZ 85310-4418
Phone: (623) 266-2690
Fax: (623) 337-4224
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | RN104595 | Arizona |
Profile Details
| NPI number | 1174598775 |
|---|---|
| LBN Legal business name | Smith, Kristin N |
| Credentials | Adult Nurse Practitioner (ANP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 17th, 2006 |
| Last updated | Mar 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174598775 | NPPES |
| Arizona | MEDICAID | 949894 | |
| Arizona | Other | 2005003310-21 |
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