Individual
MR. BENJAMIN A SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 WASHINGTON AVE S STE 900, MINNEAPOLIS, MN 55401-2511
(866) 492-5336
Mailing address
1724 POINTE WOODWORTH DR NE, TACOMA, WA 98422-3480
(253) 517-5466
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60575277
WA
363LG0600X
Gerontology Nurse Practitioner
Primary
AP61054509
WA
Other
Enumeration date
03/06/2020
Last updated
11/12/2020
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