Individual
AYNSLEY D SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1575 BEAM AVE, MAPLEWOOD, MN 55109-1126
(651) 232-7000
Mailing address
1575 BEAM AVE, MAPLEWOOD, MN 55109-1126
(651) 232-7000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2995
MN
363LG0600X
Gerontology Nurse Practitioner
R 152832-9
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2995
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-06279
MEDICA PRIMARY
MN
01
—
01-22834
MEDICA CHOICE
MN
01
—
1046125
PREFERRED ONE
MN
01
—
182094
UCARE
MN
05
—
41275100
—
WI
05
—
4307121
—
MT
01
—
597378
ARAZ
MN
05
—
607658100
—
MN
01
—
722T4SM
BLUE CROSS BLUE SHIELD
MN
01
—
B699
CHAMPUS
MN
01
—
HP59168
HEALTHPARTNERS
MN
Enumeration date
10/24/2006
Last updated
09/07/2021
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