Ms Gwyndolen Smith, LPN - Licensed Vocational Nurse in Phoenix, AZ

Ms Gwyndolen Smith, LPN is a Licensed Vocational Nurse based in Phoenix, Arizona. Ms Gwyndolen Smith is licensed to practice in Arizona (license number LP042073) and her current practice location is 711 E Missouri Ave Ste 100, Phoenix, Arizona. She can be reached at her office (for appointments etc.) via phone at (602) 433-1200.

NPI number for Ms Gwyndolen Smith is 1053786459 and her current mailing address is 15620 N 55th Ave, Glendale, Arizona. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053786459.

Contact Information

Ms Gwyndolen Smith, LPN
711 E Missouri Ave Ste 100,
Phoenix, AZ 85014-2811
(602) 433-1200
Not Available

Map and Direction




Provider's Profile

Full NameMs Gwyndolen Smith
GenderFemale
SpecialityLicensed Vocational Nurse
Location711 E Missouri Ave Ste 100, Phoenix, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1053786459
  • Provider Enumeration Date: 12/10/2015
  • Last Update Date: 12/10/2015

Medical Identifiers

Medical identifiers for Ms Gwyndolen Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053786459NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164X00000XLicensed Vocational Nurse LP042073 (Arizona)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Gwyndolen Smith is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Gwyndolen Smith, LPN
15620 N 55th Ave,
Glendale, AZ 85306-3038

Ph: (602) 314-6036
Ms Gwyndolen Smith, LPN
711 E Missouri Ave Ste 100,
Phoenix, AZ 85014-2811

Ph: (602) 433-1200

Reviews and Comments


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Phone: 602-433-1200    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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