Individual
COREEN S SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP, MS
Contact information
Practice address
2603 WHITE BEAR AVE N, MAPLEWOOD, MN 55109-5110
(651) 600-3035
(651) 348-8783
Mailing address
2603 WHITE BEAR AVE N, MAPLEWOOD, MN 55109-5110
(651) 600-3035
(651) 348-8783
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
CNP 1337
MN
Other
Enumeration date
10/02/2006
Last updated
04/19/2021
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