Individual provider · Type 1 NPI
Tanya L. Smith, CNP
Gerontology Nurse Practitioner · Willmar, MN
NPI number
1366792319
Active
Practice location
101 Willmar Ave SW
Willmar, MN 56201-3556
Fax (320) 231-5067
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | R164223-4 (MN) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1366792319
Tanya L. Smith, CNP's National Provider Identifier is 1366792319, issued on Sep 18, 2012. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Willmar, MN. The record was last updated on Sep 18, 2012.