Individual
LANA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP, PMHNP
Contact information
Practice address
2821 S 108TH ST STE 3, OMAHA, NE 68144-4800
(402) 452-9856
(833) 471-6245
Mailing address
4527 BURDETTE ST, OMAHA, NE 68104-4531
(402) 452-9856
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
113486
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10027648401
—
NE
Enumeration date
03/13/2021
Last updated
07/22/2023
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