SARA JEAN SMITH
NPI 1366137952
Licensed Practical Nurse in Roseville, MN
- Individual
- Female
- Licensed Practical Nurse
About SARA SMITH
This page provides the complete NPI Profile along with additional information for Sara Smith, a provider established in Roseville, Minnesota with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1366137952 assigned on April 2023. The practitioner's primary taxonomy code is 164W00000X with license number 818203 (MN). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1366137952 Verify this NPI
- Provider Name
- SARA JEAN SMITH
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1404 COUNTY ROAD C2 W ROSEVILLE, MN 55113
- Location Phone
- (651) 353-3593
- Mailing Address
- 1404 COUNTY ROAD C2 W ROSEVILLE, MN 55113
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-10-2023
- Last Update Date
- 04-10-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Licensed Practical Nurse
- Taxonomy Code
- 164W00000X
- Type
- Nursing Service Providers
- License No.
- 818203
- License State
- MN
- Taxonomy Description
- A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366137952, enumerated as an "individual" on April 10, 2023.
The provider is located at 1404 COUNTY ROAD C2 W ROSEVILLE, MN 55113 and the phone number is (651) 353-3593.
Licensed Practical Nurse with taxonomy code 164W00000X.
