| Ms Angela Fay Smith, NURSE PRACTITIONER | |
|
345 10th Ave, Granite Falls, MN 56241-1442 | |
| (320) 564-3111 | |
| Not Available |
| Full Name | Ms Angela Fay Smith |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 345 10th Ave, Granite Falls, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811521446 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 7362 (Minnesota) | Primary |
| Entity Name | Avera Marshall |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1568401016 PECOS PAC ID: 5799695227 Enrollment ID: O20091209000435 |
| Entity Name | Avera Granite Falls |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1700429610 PECOS PAC ID: 1456784560 Enrollment ID: O20191204000103 |
| Entity Name | Avera Granite Falls |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700429644 PECOS PAC ID: 1456784560 Enrollment ID: O20200106000646 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Angela Fay Smith, NURSE PRACTITIONER 300 S Bruce St, Marshall, MN 56258-1934 Ph: (507) 532-9661 | Ms Angela Fay Smith, NURSE PRACTITIONER 345 10th Ave, Granite Falls, MN 56241-1442 Ph: (320) 564-3111 |
Bridget Samone Varpness, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 345 10th Ave, Granite Falls, MN 56241 Phone: 507-476-2014 | |
Tamala Schmitz, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 345 10th Ave, Granite Falls, MN 56241 Phone: 320-564-3111 Fax: 320-313-3386 | |
Cynthia Dew Cross, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 345 10th Ave, Granite Falls, MN 56241 Phone: 320-313-3607 Fax: 320-564-1297 |