Smith, Aynsley D

Smith, Aynsley D is an individual health care provider with primary practice located at 1575 Beam Ave , Maplewood MN 55109-1126. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Smith, Aynsley D can be contacted via phone (651) 232-7000.

Contact Information

Primary practice address
1575 Beam Ave Maplewood MN 55109-1126
Phone: (651) 232-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X R 152832-9 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2995 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2995 Minnesota

Profile Details

NPI number 1972687234
LBN Legal business name Smith, Aynsley D
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Sep 7th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972687234 NPPES
Minnesota Other B699 CHAMPUS
Minnesota Other HP59168 CHAMPUS
Minnesota MEDICAID 41275100 CHAMPUS
Minnesota Other 722T4SM CHAMPUS
Minnesota Other 182094 CHAMPUS
Minnesota Other 1046125 CHAMPUS
Minnesota Other 597378 CHAMPUS
Minnesota Other 01-06279 CHAMPUS
Minnesota Other 01-22834 CHAMPUS
Minnesota MEDICAID 4307121 CHAMPUS
Minnesota MEDICAID 607658100 CHAMPUS

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