NPI 1053786459

Gwyndolen Smith, LPN

Practitioner Licensed Vocational Nurse Phoenix, AZ

Practice location

Address: 711 E Missouri Ave STE 100, Phoenix, AZ 85014-2811
Phone: (602) 433-1200
Mailing address: 15620 N 55th Ave, Glendale, AZ 85306-3038

Registered specialties

Licensed Vocational Nurse Primary

Nursing Service Providers Taxonomy 164X00000X Licence LP042073 (AZ)

Other Licensed Vocational Nurse providers in Arizona →

Registry record

NPI: 1053786459
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Dec 2015
Record last updated: 10 Dec 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.