Individual provider · Type 1 NPI
Gina Sophia Marchio Smith, CNP
Gerontology Nurse Practitioner · Chisago City, MN
NPI number
1669141875
Active
Practice location
29575 Sportsman Dr Ste 6
Chisago City, MN 55013-4801
Mailing address
17855 Dallas Pkwy Ste 200
Dallas, TX 75287-6857
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 8434 (MN) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 8434 (MN) |
Gerontology Nurse Practitioner: Definition to come...
About NPI 1669141875
Gina Sophia Marchio Smith, CNP's National Provider Identifier is 1669141875, issued on Sep 10, 2021. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Chisago City, MN. The record was last updated on Apr 26, 2024.