Individual
MRS. GINA SOPHIA MARCHIO SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
29575 SPORTSMAN DR STE 6, CHISAGO CITY, MN 55013-4801
(651) 257-8850
Mailing address
17855 DALLAS PKWY STE 200, DALLAS, TX 75287-6857
(909) 472-3270
(909) 331-4801
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
8434
MN
363LG0600X
Gerontology Nurse Practitioner
Primary
8434
MN
Other
Enumeration date
09/10/2021
Last updated
04/26/2024
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