Individual
SUSAN SM SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
6405 FRANCE AVE S, SUITE W200, EDINA, MN 55435-2163
(952) 365-5000
(952) 836-3988
Mailing address
6405 FRANCE AVE S, SUITE W200, EDINA, MN 55435-2163
(952) 365-5000
(952) 836-3988
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R0935599
MN
Other
Enumeration date
05/16/2006
Last updated
05/25/2012
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