Smith, Thomas Samuel

Smith, Thomas Samuel is an individual health care provider with primary practice located at 1138 N Alma School Rd Ste 120 , Mesa AZ 85201-3003. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse First Assistant, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Smith, Thomas Samuel can be contacted via phone (480) 924-8382.

Contact Information

Primary practice address
1138 N Alma School Rd Ste 120 Mesa AZ 85201-3003
Phone: (480) 924-8382
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse First Assistant 163WR0006X RN086656 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP4059 Arizona

Profile Details

NPI number 1275725426
LBN Legal business name Smith, Thomas Samuel
Credentials FNP-BC, CRNFA
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2007
Last updated Aug 12th, 2021 - about 5 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 1275725426 NPPES
Arizona MEDICAID PENDING

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