Susan Marie Smith in Stillwater - Pediatrics
Susan Marie Smith - NPI 1669458428
Susan Marie Smith is a Pediatrics in Stillwater, Minnesota. Susan Marie Smith practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Susan Marie Smith is 1669458428. The last update date is 2011-02-14.
Susan Marie Smith's current location address is 1500 Curve Crest Blvd W, Stillwater, Minnesota. You can contact this provider via phone number 6514391234 and fax number 6514391547. The mailing address for Susan Marie Smith is 1500 Curve Crest Blvd W, Stillwater, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Marie Smith |
|---|---|
| Address | 1500 Curve Crest Blvd W, Stillwater, Minnesota |
| Phone Number | 6514391234 |
| Fax Number | 6514391547 |
| Sole Proprietor | N |
| Credentials | CPNP |
NPI Number Detail
| NPI Number | 1669458428 |
|---|---|
| Provider Enumeration Date | 2005-12-22 |
| Last Updated Date | 2011-02-14 |
Provider Mailing Address Detail
| Address | 1500 Curve Crest Blvd W |
|---|---|
| City | Stillwater |
| State | Minnesota (MN) |
| Post Code | 550826040 |
| Phone Number | 6514391234 |
| Fax Number | 6514391547 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | R0874443 |
|
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 |
|---|---|---|---|
| 477417500 | MN | -- | |
| 43910700 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Susan Marie Smith by the Centers for Medicare & Medicaid Services?
The Susan Marie Smith has been assigned the NPI (National Provider Identifier) 1669458428 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Susan Marie Smith?
The Susan Marie Smith is situated at 1500 Curve Crest Blvd W, in the city of Stillwater, state of MN, with the zip code 550826040.
What is the Susan Marie Smith's specialty and taxonomy code?
The Susan Marie Smith's specialty is Pediatrics, and the corresponding taxonomy code is 363Lp0200X.
On what date was the 1669458428 assigned to Susan Marie Smith?
The Susan Marie Smith was issued its 1669458428 on 2005-12-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Susan Marie Smith last refreshed?
The information related to the Susan Marie Smith, including its address, specialty, and other relevant details, was last updated on 2011-02-14.
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