Individual
KRISTA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Contact information
Practice address
300 W BROADWAY, SUITE 6, COUNCIL BLUFFS, IA 51503-9045
(712) 325-1990
(712) 325-0288
Mailing address
300 W BROADWAY, SUITE 6, COUNCIL BLUFFS, IA 51503-9045
(712) 325-1990
(712) 325-0288
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
A-060898
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0188946
—
IA
01
—
38978
WELLMARK BCBS
IA
Enumeration date
01/18/2006
Last updated
03/02/2011
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