Lynette Smith, RN
Individual provider Active NPI School Registered Nurse · Central, AZ
NPI 1073731345 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1073731345
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Registered Nurse 163WS0200X
- License
- RN067007 (AZ)
- Practice address
- 5310 Norton Rd
Central, AZ 85531-0098 - Phone
- (928) 348-7212
- NPI assigned
- Apr 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN067007 | AZ | MD | School Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | RN067007 | AZ | Yes |
Addresses
Primary practice location
5310 Norton Rd
Central, AZ 85531-0098
Mailing address
PO Box 98
Thatcher, AZ 85552-0098
Phone (928) 348-7212
Other providers in Central, AZ
All providers in Central, AZ · School Registered Nurse in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.