Individual
MADELINE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3622 GARDEN BLVD N, OAKDALE, MN 55128-3116
(715) 338-0880
Mailing address
3622 GARDEN BLVD N, OAKDALE, MN 55128-3116
(715) 338-0880
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2465600
MN
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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