Individual
NICOLE A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1804 7TH ST W STE 200, SAINT PAUL, MN 55116-2300
(651) 227-7806
(651) 256-6710
Mailing address
3500 AMERICAN BLVD W STE 300, BLOOMINGTON, MN 55431-4442
(952) 512-5600
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
243890-0
MN
363L00000X
Nurse Practitioner
Primary
9561
MN
Other
Enumeration date
01/20/2022
Last updated
10/08/2024
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