Individual
CONNIE MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 N MAIN ST, ATKINSON, NE 68713-4952
(402) 925-2848
Mailing address
PO BOX 547, ATKINSON, NE 68713-0547
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
18744
NE
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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