Provider Demographics
NPI:1225556293
Name:SMALLS-WALKER, KURT ANGUS (FNP-C)
Entity Type:Individual
Prefix:MR
First Name:KURT
Middle Name:ANGUS
Last Name:SMALLS-WALKER
Suffix:
Gender:M
Credentials:FNP-C
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Other - First Name:
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Mailing Address - Street 1:7629 E PINNACLE PEAK RD STE 118
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-6292
Mailing Address - Country:US
Mailing Address - Phone:972-207-5136
Mailing Address - Fax:480-530-3482
Practice Address - Street 1:7629 E PINNACLE PEAK RD STE 118
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-6292
Practice Address - Country:US
Practice Address - Phone:972-207-5136
Practice Address - Fax:480-530-3482
Is Sole Proprietor?:No
Enumeration Date:2017-08-30
Last Update Date:2019-09-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZTAP10492363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily