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NPI Code Detail

MEDICARE: MRS. ERIN GAYLE SMITH FNP-C

MEDICARE: MRS. ERIN GAYLE SMITH FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner113496NE

General Provider Information

NPI Number : 1558955740
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ERIN GAYLE SMITH FNP-C
Provider Business Mailing Address
First Line : 306 N 7TH ST
Second Line :
City : PLATTSMOUTH
State : NE
Zip : 68048-1310
Country : US
Telephone Number : 402-298-5775
Fax Number : 402-500-3342
Provider Business Practice Location Address
First Line : 306 N 7TH ST
Second Line :
City : PLATTSMOUTH
State : NE
Zip : 68048-1310
Country : US
Telephone Number : 402-298-5775
Fax Number : 402-500-3342
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2021
Last Update Date : 06/12/2021

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