Individual
MS. ANGELA FAY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
345 10TH AVE, GRANITE FALLS, MN 56241-1442
(320) 564-3111
Mailing address
300 S BRUCE ST, MARSHALL, MN 56258-1934
(507) 532-9661
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7362
MN
Other
Enumeration date
02/21/2020
Last updated
07/24/2020
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