Individual
LISA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
124016-0
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021765400
—
MN
01
—
07-05977
MEDICA
MN
01
—
110675
UCARE
MN
01
—
3F110NE
BCBS
MN
01
—
HP24171
HEALTH PARTNERS
MN
01
—
NA9021019276
PREFERRED ONE
MN
Enumeration date
03/28/2006
Last updated
11/08/2012
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