Individual
HALEIGH M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
8303 DODGE ST STE 304, OMAHA, NE 68114
(402) 354-5048
(402) 354-2585
Mailing address
PO BOX 10190, VIRGINIA BEACH, VA 23450-0190
(800) 477-5240
(757) 216-1638
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
112269
NE
363L00000X
Nurse Practitioner
H148420
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025044400
—
NE
05
—
1851814222
—
IA
Enumeration date
07/18/2017
Last updated
08/09/2018
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