Individual provider · Type 1 NPI

Shane Ray Smith, FNP-C

Nurse Practitioner · Peoria, AZ

NPI number 1326721796 Active

Practice location

10230 W Happy Valley Pkwy
Peoria, AZ 85383-4691

Call (623) 561-3030 Map

Mailing address

21735 N 119th Dr
Sun City, AZ 85373-5650

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	300208 (AZ)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

2 other providers at this address

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About NPI 1326721796

Shane Ray Smith, FNP-C's National Provider Identifier is 1326721796, issued on Aug 10, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Peoria, AZ. The record was last updated on Nov 15, 2023.