Individual provider · Type 1 NPI

Benjamin A. Smith

Gerontology Nurse Practitioner · Minneapolis, MN

NPI number 1205461522 Active

Practice location

100 Washington Ave S Ste 900
Minneapolis, MN 55401-2511

Mailing address

1724 Pointe Woodworth Dr NE
Tacoma, WA 98422-3480

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN60575277 (WA)
Gerontology Nurse Practitioner Primary 363LG0600XAP61054509 (WA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1205461522

Benjamin A. Smith's National Provider Identifier is 1205461522, issued on Mar 6, 2020. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Minneapolis, MN. The record was last updated on Nov 12, 2020.