MEDICARE: MADELINE SMITH RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	2465600	MN

General Provider Information

NPI Number	:	1043988678
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADELINE SMITH RN

Provider Business Mailing Address
First Line	:	3622 GARDEN BLVD N
Second Line	:
City	:	OAKDALE
State	:	MN
Zip	:	55128-3116
Country	:	US
Telephone Number	:	715-338-0880
Fax Number	:

Provider Business Practice Location Address
First Line	:	3622 GARDEN BLVD N
Second Line	:
City	:	OAKDALE
State	:	MN
Zip	:	55128-3116
Country	:	US
Telephone Number	:	715-338-0880
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2021
Last Update Date	:	08/30/2021

Similar Medicare Providers

1285836759 — OAKDALE CC SCH DIST 1
Practice Location Address:

280 E MAIN ST
OAKDALE, IL
62268-3116

Practice Phone: 618-532-4721
Practice Fax:

1457062986 — REFENEL LOGISTICS LLC
Practice Location Address:

3588 GARDEN BLVD N
SAINT PAUL, MN
55128-3116

Practice Phone: 651-747-5685
Practice Fax:

1831801935 — WAZURI INCORPORATED
Practice Location Address:

3588 GARDEN BLVD N
SAINT PAUL, MN
55128-3116

Practice Phone: 651-747-5685
Practice Fax:

1558136416 — KENDRA J SHULMAN MSW, LICSW
Practice Location Address:

7066 STILLWATER BLVD N
OAKDALE, MN
55128-3937

Practice Phone: 612-364-4900
Practice Fax:

1679403083 — DR. CHAO YANG PHARMD
Practice Location Address:

985 GENEVA AVE N
OAKDALE, MN
55128-7409

Practice Phone: 651-731-4840
Practice Fax:

1508018185 — ST CROIX HOSPICE LLC
Practice Location Address:

7200 HUDSON BLVD N STE 100
OAKDALE, MN
55128-7098

Practice Phone: 651-735-3656
Practice Fax: 651-735-0126

Directions to “ MADELINE SMITH RN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.