Individual
TIFFANIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6901 N 72ND ST, OMAHA, NE 68122-1709
(855) 524-4001
(402) 572-3206
Mailing address
6901 N 72ND ST, OMAHA, NE 68122-1709
(855) 524-4001
(402) 572-3206
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
113132
NE
363LF0000X
Family Nurse Practitioner
A177159
IA
Other
Enumeration date
01/05/2024
Last updated
01/05/2024
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