Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mary Sylvia Smith, FNP-C

Individual provider Family Nurse Practitioner · NPI 1093602633

Mary Sylvia Smith, FNP-C is a Nurse Practitioner in Flagstaff, Arizona. Qualified in 2021, 5 years ago. Practices with Innovative Wound Solutions LLC, a 20-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
5
Licensed in
AZ
In the registry since
2025
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1001 N 4th St Apt 3-101
Flagstaff, AZ 86004-7826
Phone: (928) 310-2309
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F06250240 (AZ)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence RNP325509 (AZ)

Record details

NPI number1093602633
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJune 18, 2025
Last updated in NPPESJune 18, 2025
Certification dateJune 4, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Innovative Wound Solutions Llc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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