Smith, Monica

Smith, Monica is an sole proprietor health care provider with primary practice located at 17610 N 17Th Ln , Phoenix AZ 85023. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Nursing Service Providers / Pain Management. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Smith, Monica can be contacted via phone (480) 255-6393.

Contact Information

Primary practice address
17610 N 17Th Ln Phoenix AZ 85023
Phone: (480) 255-6393
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP2759 Arizona
Nursing Service Providers / Pain Management 163WP0000X AP 2759 Arizona

Profile Details

NPI number 1245428994
LBN Legal business name Smith, Monica
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 9th, 2007
Last updated Jul 16th, 2018 - about 8 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 1245428994 NPPES
Arizona MEDICAID 422237

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