Smith, Krista

Smith, Krista is an individual health care provider with primary practice located at 300 W Broadway Suite 6, Council Bluffs IA 51503-9045. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Smith, Krista can be contacted via phone (712) 325-1990.

Contact Information

Primary practice address
300 W Broadway Suite 6 Council Bluffs IA 51503-9045
Phone: (712) 325-1990
Fax: (712) 325-0288
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X A-060898 Iowa

Profile Details

NPI number 1235119132
LBN Legal business name Smith, Krista
Credentials A.R.N.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Mar 2nd, 2011 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235119132 NPPES
Iowa Other 38978 WELLMARK BCBS
Iowa MEDICAID 0188946 WELLMARK BCBS

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