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Contact Information

BETTY C SMITH, CRNFA
3735 N. TABOR STREET
MESA, AZ85215
 Phone: 480-699-0155
 Fax: 480-699-0155
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for BETTY C SMITH · (Female)

NPI # 1366479172
Status Active
Credentials CRNFA
Entity Individual
Enumeration date 06/27/2006
Last updated 12/06/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # RN 058867
  • AZ Medicaid 359861
  • AZ Other AZ0168910 BCBS AZ
  • AZ Other 1Z5564 HEALTNET OF AZ
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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