Provider Demographics
NPI:1932907490
Name:SMOLIK, NANCY JO
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:JO
Last Name:SMOLIK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9315 235TH RD
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NE
Mailing Address - Zip Code:68812-2030
Mailing Address - Country:US
Mailing Address - Phone:308-293-1222
Mailing Address - Fax:
Practice Address - Street 1:9315 235TH RD
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NE
Practice Address - Zip Code:68812-2030
Practice Address - Country:US
Practice Address - Phone:308-293-1222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
372600000X
NEH127084383747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No372600000XNursing Service Related ProvidersAdult Companion