Provider Demographics
NPI:1770942500
Name:SMITH, HILARY (DNP, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:HILARY
Middle Name:
Last Name:SMITH
Suffix:
Gender:F
Credentials:DNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2775 S 8TH AVE
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364-7110
Mailing Address - Country:US
Mailing Address - Phone:928-341-0700
Mailing Address - Fax:928-341-0900
Practice Address - Street 1:2775 S 8TH AVE
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-7110
Practice Address - Country:US
Practice Address - Phone:928-341-0700
Practice Address - Fax:928-341-0900
Is Sole Proprietor?:No
Enumeration Date:2016-02-22
Last Update Date:2016-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP8479363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily