MS. SUSAN MARIE SMITH CPNP NPI 1669458428

NPI Information

  • NPI: 1669458428
  • Provider Name: MS. SUSAN MARIE SMITH, CPNP
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • Address: 1500 CURVE CREST BLVD W
    STILLWATER, MN
    ZIP 55082
  • Phone: (651) 439-1234

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NPI Details

MS. Susan Marie Smith, CPNP is a pediatrics nurse practitioner in Stillwater, MN. MS. Susan Marie Smith, CPNP NPI is 1669458428. 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:

1500 CURVE CREST BLVD W
STILLWATER, MN
ZIP 55082-040
Phone: (651) 439-1234
Fax: (651) 439-1547

The enumeration date for this NPI number is 12/22/2005 and was last updated on 2/14/2011.

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
1363LP0200XNurse PractitionerPediatricsR0874443MINNESOTAYes

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
1P07873MEDICARE UPINMINNESOTA
243910700MEDICAIDWISCONSIN
3500002979MEDICARE PINMINNESOTA
4477417500MEDICAIDMINNESOTA

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: 3/30/2025

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