AMANDA LYNN SMITH FNP-C NPI 1861056079

NPI Information

NPI: 1861056079
Provider Name: AMANDA LYNN SMITH, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
3785 E STAMPEDE DR
GILBERT, AZ
ZIP 85297
Phone: (480) 622-3733
Get Directions

Amanda Lynn Smith, FNP-C is a family nurse practitioner in Gilbert, AZ. Amanda Lynn Smith, FNP-C NPI is 1861056079. 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:

3785 E STAMPEDE DR
GILBERT, AZ
ZIP 85297-203
Phone: (480) 622-3733

The enumeration date for this NPI number is 4/24/2019 and was last updated on 4/24/2019.

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	363LF0000X	Nurse Practitioner	Family	224662	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	224662	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: 11/14/2023

NPI Synchronization or Removal

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