Carly Nicole Smith, PA-C

NPI #1043645690 in Minnetonka, Minnesota

Provider Information

NPI Number: 1043645690
Entity Type: Individual
Name: Carly Nicole Smith, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 13, 2013
Last Updated: Jan 27, 2017

Practice Location

Address: 5435 FELTL RD
City: Minnetonka
State: Minnesota
ZIP Code: 55343-7983
Phone: (952) 835-9880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant	363A00000X	Primary

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