Smith, Michelle
Smith, Michelle is an individual health care provider with primary practice located at 287 E Hunt Hwy Ste 105 , San Tan Valley AZ 85143-5096. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Smith, Michelle can be contacted via phone (480) 677-8282.Contact Information
Primary practice address
287 E Hunt Hwy Ste 105
San Tan Valley AZ 85143-5096
Phone: (480) 677-8282
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine | 364SC0200X | AP4238 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | AP4238 | Arizona |
Profile Details
| NPI number | 1376829614 |
|---|---|
| LBN Legal business name | Smith, Michelle |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2011 |
| Last updated | Feb 1st, 2023 - about last year |
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 | 1376829614 | NPPES |
| Arizona | MEDICAID | 888297 |
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