Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARYELLEN T SMITH, CPNP
ActiveMARYELLEN T SMITH, CPNP is a Pediatric Nurse Practitioner healthcare provider located in ST CLOUD, Minnesota. NPI 1225004377 is currently active in the NPPES registry. Verify at CMS.
Pediatric Nurse Practitioner · ST CLOUD, MN
Registration Details
- NPI Number
- 1225004377
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 28, 2006 (20.446281321579 yrs)
- Last Updated
- Sep 7, 2011
- Licenses
-
0735016 (MN)R073501-6 (MN)
Practice Information
- Address
-
1900 CENTRACARE CIR #1300CENTRACARE CLINIC - WOMEN'S AND CHILDRENSST CLOUD, MN, 563035000Browse MN providers · Browse ZIP 56303
- Phone
- 3206543610
- Fax
- 6517025305
- Primary Specialty
-
Pediatric Nurse Practitioner
363LP0200X
- Additional Specialty
- Pediatric Nurse Practitioner
Other Pediatric Nurse Practitioner Providers in ST CLOUD, MN
| Name | Credential | NPI |
|---|---|---|
| DEBRA J THILL | CPNP | 1407847551 |
| CASSANDRA IRENE VAJDA | CPNP | 1508810540 |
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.