| Doctor Name: | MIYOSHI SMITH |
| NPI Number: | 1457684110 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | AP4201 |
| Business Practice Address: | Us Hwy 86 Marker 74 Hc 01 San Simon Health Ctr 8178 Sells, AZ - 856349726 |
| Business Phone Number: | 5203627089 |
| Business Fax Number: | 5203627080 |
| Mailing Address: | Hc 1 Box 8178, Attn: San Simon Health Center Us Highway 86 SELLS |
| State: | AZ |
| Postal Code: | 856349726 |
| Phone Number: | 5203627089 |
| Fax Number: | 5203627080 |
| NPI Enumeration Date: | 09/14/2009 |
| NPI Last Update Date: | 10/24/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP4201 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |