Smith, Coreen S

Smith, Coreen S is an individual health care provider with primary practice located at 2603 White Bear Ave N , Maplewood MN 55109-5110. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Smith, Coreen S can be contacted via phone (651) 600-3035.

Contact Information

Primary practice address
2603 White Bear Ave N Maplewood MN 55109-5110
Phone: (651) 600-3035
Fax: (651) 348-8783
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X CNP 1337 Minnesota

Profile Details

NPI number 1548353469
LBN Legal business name Smith, Coreen S
Credentials CNP, MS
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Apr 19th, 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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