Individual provider · Type 1 NPI
Paul Joseph Smaciarz, APRN, CNP
Gerontology Nurse Practitioner · Buffalo, MN
NPI number
1497303911
Active
Practice location
303 Catlin St
Buffalo, MN 55313-1947
Fax (763) 684-6111
Mailing address
2925 Chicago Ave
Minneapolis, MN 55407-1321
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 6844 (MN) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 6844 (MN) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1497303911
Paul Joseph Smaciarz, APRN, CNP's National Provider Identifier is 1497303911, issued on Aug 28, 2019. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Buffalo, MN. The record was last updated on Aug 19, 2022.