| Doctor Name: | ANGELA MICHELLE SMITH |
| NPI Number: | 1831112515 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | A.N.P. |
| License Number: | AP2415 |
| Business Practice Address: | 6499 S Kings Ranch Rd Ste 9 Gold Canyon, AZ - 852182902 |
| Business Phone Number: | 4809826000 |
| Business Fax Number: | 4809820265 |
| Mailing Address: | Po Box 63423, PHOENIX |
| State: | AZ |
| Postal Code: | 850823423 |
| Phone Number: | 4808922800 |
| Fax Number: | 4809821400 |
| NPI Enumeration Date: | 07/25/2006 |
| NPI Last Update Date: | 10/12/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | AP2415 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |