Smith-Fornshell, Stephanie L

Smith-Fornshell, Stephanie L is an sole proprietor health care provider with primary practice located at 101 W Burnsville Pkwy Ste 207 , Burnsville MN 55337-0010. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Smith-Fornshell, Stephanie L can be contacted via phone (612) 548-4266.

Contact Information

Primary practice address
101 W Burnsville Pkwy Ste 207 Burnsville MN 55337-0010
Phone: (612) 548-4266
Fax: (952) 686-6966
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2759 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R1908376 Minnesota

Profile Details

NPI number 1134559610
LBN Legal business name Smith-Fornshell, Stephanie L
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 19th, 2013
Last updated Jan 24th, 2024 - about 2 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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