Maryellen Smith, CPNP

Individual Active
NPI 1225004377
Pediatric Nurse Practitioner St Cloud, MN

NPI 1225004377 belongs to Maryellen Smith, CPNP, a pediatric nurse practitioner with a practice location in St Cloud, MN. The NPI was issued on February 28, 2006, and the record was last updated in NPPES on September 7, 2011. The record lists 2 taxonomy codes.

This record hasn't been updated in NPPES since 2011. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X R073501-6 (MN)
Nurse Practitioner 363L00000X 0735016 (MN)

Practice location

1900 Centracare Cir #1300
Centracare Clinic - Women'S And Childrens
St Cloud, MN 56303-5000
Phone: (320) 654-3610

Local context

Active NPPES records list 13 providers with pediatric nurse practitioner as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 478 in Minnesota and 23,953 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Maryellen T Smith
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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