Individual
MELISSA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11404 W DODGE RD STE 300, OMAHA, NE 68154-2511
(402) 898-1113
(402) 819-5588
Mailing address
11404 W DODGE RD STE 300, OMAHA, NE 68154-2511
(402) 898-1113
(402) 819-5588
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
64078
NE
163WS0200X
School Registered Nurse
64078
NE
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
114556
NE
Other
Enumeration date
10/08/2019
Last updated
02/06/2023
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