Smith, Vivian R.

Smith, Vivian R. is an individual health care provider with primary practice located at 3931 Stockton Hill Rd Ste D, Kingman AZ 86409-2426. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Smith, Vivian R. can be contacted via phone (928) 681-5800.

Contact Information

Primary practice address
3931 Stockton Hill Rd Ste D Kingman AZ 86409-2426
Phone: (928) 681-5800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN-931 Hawaii
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 16175 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3390 Arizona

Profile Details

NPI number 1851305981
LBN Legal business name Smith, Vivian R.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Jun 24th, 2013 - about 13 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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