NPI 1003616392

Connie Alanda Smallwood

Practitioner Specialist Omaha, NE

Practice location

Address: 4715 S 132nd St, Omaha, NE 68137-1899
Phone: (402) 306-6866

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Registry record

NPI: 1003616392
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Mar 2025
Record last updated: 15 Mar 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.