Smith, Geneva Gertrude

Smith, Geneva Gertrude is an individual health care provider with primary practice located at 16222 N 59Th Ave Suite A100, Glendale AZ 85306-1701. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Smith, Geneva Gertrude can be contacted via phone (623) 334-4000.

Contact Information

Primary practice address
16222 N 59Th Ave Suite A100 Glendale AZ 85306-1701
Phone: (623) 334-4000
Fax: (623) 334-4400
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN132657 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 681651 Texas
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X AP2132 Arizona

Profile Details

NPI number 1952340762
LBN Legal business name Smith, Geneva Gertrude
Credentials A.C.N.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Dec 21st, 2022 - about 4 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 1952340762 NPPES
Other 8Y9072 BCBS
MEDICAID 199155601 BCBS
MEDICAID 199155602 BCBS

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