Individual
AMANDA NICOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
300 PERSHING AVE, SHENANDOAH, IA 51601-2355
(712) 246-7300
Mailing address
300 PERSHING AVE, SHENANDOAH, IA 51601-2355
(712) 246-7300
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A162080
IA
Other
Enumeration date
01/27/2021
Last updated
01/27/2021
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