Individual
COURTNEY M. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4242 FARNAM ST, #490, OMAHA, NE 68131-2806
(402) 504-3880
(402) 504-3859
Mailing address
166 4TH ST E, SAINT PAUL, MN 55101-1421
(651) 292-2043
(651) 292-2204
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
110716
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025290600
—
NE
Enumeration date
03/17/2006
Last updated
06/15/2010
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