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NPI 1053786459

IndividualActive

Gwyndolen Smith, LPN

NPI 1053786459 · Licensed Vocational Nurse · Phoenix, AZ

Provider details

NPI number: 1053786459
Entity type: Individual
Primary specialty: Licensed Vocational NurseNursing Service Providers
Credential: LPN
Sex: Female
Sole proprietor: No
License: LP042073 (AZ)

Practice location

711 E Missouri Ave Ste 100

Phoenix, AZ 85014-2811

Phone: (602) 433-1200

More AZ providers

Mailing address

15620 N 55th Ave

Glendale, AZ 85306-3038

Registry dates

Enumerated: 2015-12-10
Last updated: 2015-12-10

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Gwyndolen Smith, LPN — NPI 1053786459, Phoenix, AZ | NPI Central