| Doctor Name: | PATRICIA SMITH |
| NPI Number: | 1164706677 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N. |
| License Number: | R34622 |
| Business Practice Address: | 490b W Zia Rd Ste 1 Santa Fe, NM - 875057009 |
| Business Phone Number: | 5059958346 |
| Business Fax Number: | |
| Mailing Address: | 19420 N 59th Ave Ste B233, GLENDALE |
| State: | AZ |
| Postal Code: | 853086886 |
| Phone Number: | 5059840356 |
| Fax Number: | |
| NPI Enumeration Date: | 10/03/2011 |
| NPI Last Update Date: | 10/03/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | R34622 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |