Individual
MRS. REBECCA LYNN SMADING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3525 S NATIONAL AVE STE 205A, SPRINGFIELD, MO 65807-7315
(417) 269-9714
(417) 269-9236
Mailing address
PO BOX 802843, KANSAS CITY, MO 64180-2843
(417) 730-6430
(417) 269-7567
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2019038987
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420076875
—
MO
Enumeration date
10/03/2019
Last updated
08/29/2022
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