BETTY C SMITH CRNFA
NPI 1366479172
Physician Assistant - Surgical in Mesa, AZ

Active since June 27, 2006
3735 N. TABOR STREET, MESA, AZ 85215(480) 699-0155(480) 699-0155 Get Directions Write a Review

NPPES record last updated: December 6, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Betty C Smith Crnfa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BETTY C SMITH CRNFA (NPI 1366479172) is an individual surgical provider in Mesa, Arizona, licensed in Arizona (RN 058867) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1366479172
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameBETTY C SMITHCredential: CRNFA
Location Address3735 N. TABOR STREETMesa, AZ 85215
Mailing Address3735 N. Tabor StreetMesa, AZ 85215 · (480) 699-0155 · Fax (480) 699-0155
Fax(480) 699-0155
Sole ProprietorNo
Enumeration DateJune 27, 2006
Last NPPES UpdateDecember 6, 2011
NPI 1366479172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in AZ · RN 058867
3735 N. TABOR STREET, Mesa, AZ 85215

Other Identifiers 3

Other1Z5564AZ · Healtnet Of Az
OtherAZ0168910AZ · Bcbs Az
Medicaid359861AZ

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Betty Smith's NPI number?

The NPI number for Betty Smith is 1366479172. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Betty Smith located?

Betty Smith practices at 3735 N. Tabor Street, Mesa, AZ 85215. The listed phone number is (480) 699-0155.

What is Betty Smith's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Betty Smith was last updated on December 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.