Smith, Elisa M

Smith, Elisa M is an individual health care provider with primary practice located at 2925 Chicago Ave , Minneapolis MN 55407-1321. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist. Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist is her primary health care specialty. Smith, Elisa M can be contacted via phone (612) 262-5000.

Contact Information

Primary practice address
2925 Chicago Ave Minneapolis MN 55407-1321
Phone: (612) 262-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 275 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 363LC0200X 275 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X CNS 0275 Minnesota

Profile Details

NPI number 1164419644
LBN Legal business name Smith, Elisa M
Credentials APRN, CNS
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Nov 8th, 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 1164419644 NPPES
Iowa Other 55721 WELLMARK BCBS
Iowa MEDICAID 0423194 WELLMARK BCBS

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