Individual
NIKKO M SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
204 NORTH 7TH STREET, SARATOGA, WY 82331
(970) 305-0693
Mailing address
PO BOX 146, SARATOGA, WY 82331-0146
(970) 305-0693
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
29096
WY
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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