Individual
AMY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PHN
Contact information
Practice address
400 BROADWAY AVE S, ROCHESTER, MN 55904-6445
(507) 457-5000
Mailing address
1575 MINERAL SPRINGS RD, OWATONNA, MN 55060-2067
(507) 535-2598
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R142669-6
MN
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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