Maryellen T Smith in St Cloud - Pediatrics
Maryellen T Smith - NPI 1225004377
Maryellen T Smith is a Pediatrics in St Cloud, Minnesota. Maryellen T Smith practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Maryellen T Smith is 1225004377. The last update date is 2011-09-07.
Maryellen T Smith's current location address is 1900 Centracare Cir #1300, St Cloud, Minnesota. You can contact this provider via phone number 3206543610 and fax number 9528835395. The mailing address for Maryellen T Smith is 1900 Centracare Cir #1300, St Cloud, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Maryellen T Smith |
|---|---|
| Address | 1900 Centracare Cir #1300, St Cloud, Minnesota |
| Phone Number | 3206543610 |
| Fax Number | 9528835395 |
| Sole Proprietor | N |
| Credentials | CPNP |
NPI Number Detail
| NPI Number | 1225004377 |
|---|---|
| Provider Enumeration Date | 2006-02-28 |
| Last Updated Date | 2011-09-07 |
Provider Mailing Address Detail
| Address | 1900 Centracare Cir #1300 |
|---|---|
| City | St Cloud |
| State | Minnesota (MN) |
| Post Code | 563035000 |
| Phone Number | 3206543610 |
| Fax Number | 9528835395 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | R073501-6 |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 71742800 | MN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Maryellen T Smith by the Centers for Medicare & Medicaid Services?
The Maryellen T Smith has been issued the NPI (National Provider Identifier) 1225004377 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Maryellen T Smith's facilities are geographically located?
The facilities of Maryellen T Smith are physically situated at the following location: 1900 Centracare Cir #1300, St Cloud, MN, 563035000.
What is the area of specialization for Maryellen T Smith, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Maryellen T Smith is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 363Lp0200X.
When did Maryellen T Smith receive its 1225004377 assignment?
The Maryellen T Smith was assigned its 1225004377 on 2006-02-28, which is the date when this unique identifier was issued to the organization.
When was the information regarding Maryellen T Smith, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Maryellen T Smith, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-09-07.
NPI Number: 1376546309
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