SUSAN SM SMITH NURSE PRACTITIONER NPI 1497707814

NPI Information

  • NPI: 1497707814
  • Provider Name: SUSAN SM SMITH, NURSE PRACTITIONER
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • Address: 6405 FRANCE AVE S
    SUITE W200
    EDINA, MN
    ZIP 55435
  • Phone: (952) 365-5000

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NPI Details

Susan Sm Smith, NURSE PRACTITIONER is an adult health nurse practitioner in Edina, MN. Susan Sm Smith, NURSE PRACTITIONER NPI is 1497707814. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6405 FRANCE AVE S
SUITE W200
EDINA, MN
ZIP 55435-163
Phone: (952) 365-5000
Fax: (952) 836-3988

The enumeration date for this NPI number is 5/16/2006 and was last updated on 5/25/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult HealthR0935599MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1500000485MEDICARE PINMINNESOTA
2S52811MEDICARE UPINMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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