MARYELLEN SMITH, CPNP
Nurse Practitioner - Pediatrics
Active
Individual
NPI: 1225004377
Practice Address
1900 CENTRACARE CIR #1300CENTRACARE CLINIC - WOMEN'S AND CHILDRENS
St Cloud, MN 56303
Phone: (320) 654-3610
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner | 363L00000X | No | 0735016 (MN) |
| Nurse Practitioner - Pediatrics | 363LP0200X | Yes | R073501-6 (MN) |
Frequently Asked Questions
NPI 1225004377 is the National Provider Identifier for MARYELLEN SMITH, CPNP, a Nurse Practitioner - Pediatrics provider located in St Cloud, MN. This NPI was enumerated on February 28, 2006.
MARYELLEN SMITH, CPNP practices at 1900 CENTRACARE CIR #1300, CENTRACARE CLINIC - WOMEN'S AND CHILDRENS, St Cloud, MN 56303.
Quick Facts
- NPI
- 1225004377
- Type
- Individual
- Enumerated
- Feb 28, 2006
- Last Updated
- Sep 7, 2011
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