person
Ms. Susan Marie Smith, CPNP
Pediatric Nurse Practitioner in Stillwater, Minnesota
NPI 1669458428

Susan Marie Smith is a Pediatric Nurse Practitioner based in Stillwater, MN and is specialized in Pediatrics. Susan Marie Smith practices in Stillwater, MN and has the professional credentials of CPNP. The NPI Number for Susan Marie Smith is 1669458428 and holds a License No. R0874443 (Minnesota).

The current practice location address for Susan Marie Smith is 1500 Curve Crest Blvd W, Stillwater, MN and can be reached out via phone at 651-439-1234 and via fax at 651-439-1547.

Location: 1500 Curve Crest Blvd W, Stillwater, MN, 55082-6040
person
Provider Profile Details
NPI Number
1669458428
Provider Name
Susan Marie Smith
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
1500 Curve Crest Blvd W, Stillwater, MN, 55082-6040
Phone Number
651-439-1234
Fax Number
651-439-1547
Provider Enumeration Date
12/22/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
477417500 05 MN
43910700 05 WI
institution
Provider Business Practice Location Address Details
Address
1500 Curve Crest Blvd W
City
State
Zip
55082-6040
Phone Number
651-439-1234
Fax Number
651-439-1547
person
Provider Business Mailing Address Details
Address
1500 Curve Crest Blvd W
City
State
Zip
55082-6040
Phone Number
651-439-1234
Fax Number
651-439-1547
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
R0874443 (Minnesota)
Definition
Definition to come...
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