Smith, Nancy Renee

Smith, Nancy Renee is an individual health care provider with primary practice located at 5347 N Stetson Dr , Prescott Valley AZ 86314. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Smith, Nancy Renee can be contacted via phone (928) 771-2441.

Contact Information

Primary practice address
5347 N Stetson Dr Prescott Valley AZ 86314
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1821158916
LBN Legal business name Smith, Nancy Renee
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2006
Last updated Jul 8th, 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 1821158916 NPPES
Arizona Other 918790 AHCCCS

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