Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MOLLY BEADLE SMITH, PA-C
ActiveMOLLY BEADLE SMITH, PA-C is a Surgical Physician Assistant healthcare provider located in ST LOUIS PARK, Minnesota. NPI 1073006672 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · ST LOUIS PARK, MN
Registration Details
- NPI Number
- 1073006672
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 8, 2018 (8.2079859627446 yrs)
- Last Updated
- Jun 19, 2024
- Licenses
-
14341 (MN)085008251 (IL)14341 (MN)
Practice Information
- Address
-
5400 EXCELSIOR BLVD STE 150ST LOUIS PARK, MN, 554162913Browse MN providers · Browse ZIP 55416
- Phone
- 9529931000
- Fax
- 9529931160
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Physician Assistant
Other Surgical Physician Assistant Providers in ST LOUIS PARK, MN
| Name | Credential | NPI |
|---|---|---|
| MR. JEREMY LANE JR. | P.A.-C. | 1144205220 |
| ANGELA WOYNO | PA-C | 1982680690 |
| MR. JAMES N CAVALLARO | PA-C | 1730166729 |
| LUCIA F PIERSON | OPA | 1023168432 |
| BRADY DUANE BAARTMAN | PA-C | 1780979104 |
| EMILY C PETERSON | PA-C | 1578979654 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.