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NPI Code Detail

MEDICARE: MS. KAREN MARY SMEAD CNS,DNP

MEDICARE: MS. KAREN MARY SMEAD CNS,DNP
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
1364SA2200XAdult Health Clinical Nurse SpecialistR0988436MN
2364S00000XClinical Nurse Specialist295MN

General Provider Information

NPI Number : 1255761821
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KAREN MARY SMEAD CNS,DNP
Provider Business Mailing Address
First Line : 2925 CHICAGO AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55407-1321
Country : US
Telephone Number : 612-262-5000
Fax Number :
Provider Business Practice Location Address
First Line : 920 E 28TH ST STE 460
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55407-1286
Country : US
Telephone Number : 612-863-7501
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2013
Last Update Date : 05/19/2025

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