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Individual

DR. SHEILA KATHLEEN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
814 S 3RD ST, MINNEAPOLIS, MN 55415
(612) 888-9792
(612) 888-9762
Mailing address
814 S 3RD ST, MINNEAPOLIS, MN 55415
(612) 888-9792
(612) 888-9762

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5091
MN
363LA2200X
Adult Health Nurse Practitioner
80289 -030
WI
363LA2200X
Adult Health Nurse Practitioner
8039444
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q000029
TN
Enumeration date
01/25/2010
Last updated
06/21/2018
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