Individual
AKIA M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP, WHNP-BC
Contact information
Practice address
11850 BLACKFOOT ST NW STE 100, COON RAPIDS, MN 55433-2774
(763) 712-2100
Mailing address
2550 UNIVERSITY AVE W STE 110N, SAINT PAUL, MN 55114-2001
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
CNP 4052
MN
Other
Enumeration date
08/03/2015
Last updated
12/18/2018
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