Individual provider · Type 1 NPI
Susan Marie Smith, CPNP
Pediatric Nurse Practitioner · Stillwater, MN
NPI number
1669458428
Active
Practice location
1500 Curve Crest Blvd W
Stillwater, MN 55082-6040
Fax (651) 439-1547
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | R0874443 (MN) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1669458428
Susan Marie Smith, CPNP's National Provider Identifier is 1669458428, issued on Dec 22, 2005. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Stillwater, MN. The record was last updated on Feb 14, 2011.