Individual
GINA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14700 28TH AVE N STE 20, PLYMOUTH, MN 55447-4876
(763) 450-2500
Mailing address
2631 BANDEL DR NW, ROCHESTER, MN 55901-2258
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
124038
MN
Other
Enumeration date
02/03/2020
Last updated
02/03/2020
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