Provider Demographics
NPI:1366483653
Name:SMITH, ARTHUR A II (RNFA)
Entity Type:Individual
Prefix:MR
First Name:ARTHUR
Middle Name:A
Last Name:SMITH
Suffix:II
Gender:M
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2113 E WILDHORSE DR
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85249-1268
Mailing Address - Country:US
Mailing Address - Phone:480-813-7492
Mailing Address - Fax:480-813-7492
Practice Address - Street 1:2113 E WILDHORSE DR
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85249-1268
Practice Address - Country:US
Practice Address - Phone:480-813-7492
Practice Address - Fax:480-813-7492
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-09
Last Update Date:2019-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN107166163W00000X, 163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant
No163W00000XNursing Service ProvidersRegistered Nurse