Individual provider · Type 1 NPI

Connie B. Smith, CPNP

Pediatric Nurse Practitioner · Minneapolis, MN

NPI number 1508858606 Active

Practice location

2525 Chicago Ave S, Childrens Primary Clinic Mpls
Minneapolis, MN 55404-4518

Call (612) 813-6107 Map

Fax (612) 813-7473

Mailing address

2910 Centre Pointe Dr 35-121A, Childrens Health Care
Roseville, MN 55113-1182

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XR0987437 (MN)

Pediatric Nurse Practitioner: Definition to come...

38 other providers at this address

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About NPI 1508858606

Connie B. Smith, CPNP's National Provider Identifier is 1508858606, issued on Aug 16, 2005. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Minneapolis, MN. The record was last updated on Jul 13, 2026.