BETTY C SMITH CRNFA NPI 1366479172

NPI Information

NPI: 1366479172
Provider Name: BETTY C SMITH, CRNFA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
3735 N. TABOR STREET
MESA, AZ
ZIP 85215
Phone: (480) 699-0155
Get Directions

Betty C Smith, CRNFA is a surgical physician assistant in Mesa, AZ. Betty C Smith, CRNFA NPI is 1366479172. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3735 N. TABOR STREET
MESA, AZ
ZIP 85215
Phone: (480) 699-0155
Fax: (480) 699-0155

The enumeration date for this NPI number is 6/27/2006 and was last updated on 12/6/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	RN 058867	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1Z5564	OTHER	ARIZONA	HEALTNET OF AZ
2	AZ0168910	OTHER	ARIZONA	BCBS AZ
3	359861	MEDICAID	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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