Smith, Molly Beadle

Smith, Molly Beadle is an individual health care provider with primary practice located at 5400 Excelsior Blvd Ste 150 , St Louis Park MN 55416-2913. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Smith, Molly Beadle can be contacted via phone (952) 993-1000.

Contact Information

Primary practice address
5400 Excelsior Blvd Ste 150 St Louis Park MN 55416-2913
Phone: (952) 993-1000
Fax: (952) 993-1160
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 14341 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085008251 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 14341 Minnesota

Profile Details

NPI number 1073006672
LBN Legal business name Smith, Molly Beadle
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2018
Last updated Jun 19th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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