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Maryellen T Smith, CPNP
Pediatric Nurse Practitioner in St Cloud, Minnesota
NPI 1225004377

Maryellen T Smith is a Pediatric Nurse Practitioner based in St Cloud, MN and is specialized in Pediatrics. Maryellen T Smith practices in St Cloud, MN and has the professional credentials of CPNP. The NPI Number for Maryellen T Smith is 1225004377 and holds a License No. 0735016 (Minnesota).

The current practice location address for Maryellen T Smith is 1900 Centracare Cir #1300, St Cloud, MN and can be reached out via phone at 320-654-3610 and via fax at 651-702-5305.

Location: 1900 Centracare Cir #1300, St Cloud, MN, 56303-5000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225004377
Provider Name
Maryellen T Smith
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
1900 Centracare Cir #1300, St Cloud, MN, 56303-5000
Phone Number
320-654-3610
Fax Number
651-702-5305
Provider Enumeration Date
02/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
071742800 05 MN
institution
Provider Business Practice Location Address Details
Address
1900 Centracare Cir #1300
City
St Cloud
State
Minnesota
Zip
56303-5000
Phone Number
320-654-3610
Fax Number
651-702-5305
person
Provider Business Mailing Address Details
Address
1900 Centracare Cir #1300
City
St Cloud
State
Minnesota
Zip
56303-5000
Phone Number
320-654-3610
Fax Number
651-702-5305
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
R073501-6 (Minnesota)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
0735016 (Minnesota)
Definition
Definition to come...
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