Audrey Caroline Smith

NPI #1477170082 in Elkhorn, Nebraska

Provider Information

NPI Number: 1477170082
Entity Type: Individual
Name: Audrey Caroline Smith
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Jun 30, 2020
Last Updated: Jun 30, 2020

Practice Location

Address: 1303 N 188TH ST
City: Elkhorn
State: Nebraska
ZIP Code: 68022-4501
Phone: (402) 637-1333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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