Smith, Courtney M.
Smith, Courtney M. is an individual health care provider with primary practice located at 4242 Farnam St #490, Omaha NE 68131-2806. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Smith, Courtney M. can be contacted via phone (402) 504-3880.Contact Information
Primary practice address
4242 Farnam St #490
Omaha NE 68131-2806
Phone: (402) 504-3880
Fax: (402) 504-3859
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 110716 | Nebraska |
Profile Details
| NPI number | 1477512606 |
|---|---|
| LBN Legal business name | Smith, Courtney M. |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 17th, 2006 |
| Last updated | Jun 15th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477512606 | NPPES |
| Nebraska | MEDICAID | 10025290600 |
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