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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STEPHANIE ERNESTA SMITH, PA-C

Active

STEPHANIE ERNESTA SMITH, PA-C is a Physician Assistant healthcare provider located in MAPLEWOOD, Minnesota. NPI 1508275603 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · MAPLEWOOD, MN

Registration Details

NPI Number
1508275603
Provider Type
Individual
Gender
Female
NPI Issued
Aug 4, 2014 (12.031627279667 yrs)
Last Updated
May 23, 2025
Licenses
7134-23 (WI)
11653 (MN)

Practice Information

Address
1580 BEAM AVE
MAPLEWOOD, MN, 551091127
Browse MN providers · Browse ZIP 55109
Phone
6517797978
Fax
6517797656
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in MAPLEWOOD, MN

Name Credential NPI
NICOLE D SILLOWAY PA-C 1386636553
STEPHANIE R MCCAULEY PA 1326014887
JAMES R SNYDER PA 1962470302
HEATHER J COLLINS PA-C 1518936517
KRISTIN MICHELLE LARSON PAC 1730142142
JENNIFER P KIPP PA 1124077813
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.