| Dr Kolter Lee Smith, PMHNP-BD | |
| 1955 W Frye Rd, Chandler, AZ 85224-6282 | |
| (480) 728-3000 | |
| Not Available | 
| Full Name | Dr Kolter Lee Smith | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Practitioner - Psychiatric/mental Health | 
| Location | 1955 W Frye Rd, Chandler, Arizona | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1063130227 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 279313 (Arizona) | Primary | 
| Entity Name | East Valley Psychiatry Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1992240857 PECOS PAC ID: 1355626565 Enrollment ID: O20170329002371 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Kolter Lee Smith, PMHNP-BD 4107 E Wildwood Dr, Phoenix, AZ 85048-8850 Ph: (928) 242-5716 | Dr Kolter Lee Smith, PMHNP-BD 1955 W Frye Rd, Chandler, AZ 85224-6282 Ph: (480) 728-3000 | 
| Ms. Jennifer Ann Green, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3887 S Soho Ln, Chandler, AZ 85286 Phone: 602-327-6641 | |
| Danielle Marin Hendrickson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2925 E Riggs Rd Ste 7, Chandler, AZ 85249 Phone: 480-677-8282 Fax: 888-316-1686 | |
| Terry L Horine, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2971 W Elliot Rd Ste 1, Chandler, AZ 85224 Phone: 480-733-5483 | |
| Mrs. Lois Maria Henderson, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1076 W Chandler Blvd, Suite 113, Chandler, AZ 85224 Phone: 480-963-9334 | |
| Jo Ann Owen Gott,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 715 N Cholla St, Chandler, AZ 85224 Phone: 480-203-1046 | |
| Saralyn Heddleston, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 485 S Dobson Rd Ste 201, Chandler, AZ 85224 Phone: 480-728-4700 Fax: 480-728-4747 | |
| Ms. Amber Pena Posey, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2470 W Ray Rd Ste 4, Chandler, AZ 85224 Phone: 480-245-7385 Fax: 480-207-6053 |