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NPI Code Detail

MEDICARE: MISS NATRIELLE ANDREA' SMITH

MEDICARE:  MISS NATRIELLE ANDREA' SMITH
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
1374U00000XHome Health Aide

General Provider Information

NPI Number : 1043100761
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS NATRIELLE ANDREA' SMITH
Provider Business Mailing Address
First Line : 6544 N 34TH ST
Second Line :
City : OMAHA
State : NE
Zip : 68112-3024
Country : US
Telephone Number : 531-284-6210
Fax Number :
Provider Business Practice Location Address
First Line : 6544 N 34TH ST
Second Line :
City : OMAHA
State : NE
Zip : 68112-3024
Country : US
Telephone Number : 402-319-5342
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/04/2025
Last Update Date : 07/04/2025

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Directions to “ MISS NATRIELLE ANDREA' SMITH ” Practice Location

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