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Courtney Smith, PAC
NPI 1902900376 · on the registry since 2006
Practice
- Address
- 1885 Plaza Dr
Eagan, MN 55122 - Phone
- (952) 993-4069
- Fax
- (952) 993-4095
- Organisation at this address
- Park Nicollet Health Care Products
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 30
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-02-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota