Healthcare Provider Details

I. General information

NPI: 1811363088
Provider Name (Legal Business Name): MARGARET L SMITH N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2015
Last Update Date: 11/20/2023
Certification Date: 11/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1804 7TH ST W STE 200
SAINT PAUL MN
55116-2300
US

IV. Provider business mailing address

1804 7TH ST W STE 200
SAINT PAUL MN
55116-2300
US

V. Phone/Fax

Practice location:
  • Phone: 651-227-7806
  • Fax:
Mailing address:
  • Phone: 651-227-7806
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number8243
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN2295612
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberNP95005716
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: