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

Individual provider Family Nurse Practitioner · NPI 1396384715

Millissa K Smith, FNP-C is a Nurse Practitioner in Glendale, Arizona. Qualified in 2019, 7 years ago. Practices with Banner Cancer Center Specialists LLC, a 338-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
7
Licensed in
AZ
In the registry since
2020
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

5555 W Thunderbird Rd
Glendale, AZ 85306-4622
Phone: (602) 865-5445
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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 235926 (AZ)

Record details

NPI number1396384715
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJanuary 2, 2020
Last updated in NPPESSeptember 13, 2021
Certification dateSeptember 13, 2021
Mailing address5555 W Thunderbird Rd, Glendale, AZ 85306-4622

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Banner Cancer Center Specialists Llc — 338 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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