Individual
MRS. MICHAELA LYNN SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
47452 268TH AVE, SUITE C, HUMPHREY, NE 68642
(402) 923-0150
(402) 844-8356
Mailing address
47452 268TH AVE, SUITE C, HUMPHREY, NE 68642
(402) 923-0150
(402) 844-8356
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
111369
NE
Other
Enumeration date
07/03/2012
Last updated
01/17/2019
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