Individual
STEPHANIE L SMITH-FORNSHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, APRN, CNP, PMHN
Contact information
Practice address
14665 GALAXIE AVE STE 140, APPLE VALLEY, MN 55124-4509
(651) 456-8494
Mailing address
14665 GALAXIE AVE STE 140, APPLE VALLEY, MN 55124-4509
(651) 456-8494
(952) 686-6966
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2759
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
R1908376
MN
Other
Enumeration date
11/19/2013
Last updated
04/22/2026
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