Individual
ALYSSA DIANNA TEMTE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
PO BOX 21682, SAINT PAUL, MN 55121-0682
(612) 405-9528
Mailing address
PO BOX 21682, SAINT PAUL, MN 55121-0682
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12351
MN
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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