# PEDXM, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Nebraska Home Pediatrics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043726524
- **Authorized official:** ERIN E THOMAN APRN (OWNER)
- **Authorized official phone:** (402) 676-1145

## Contact information

- **Practice address:** 7125 SOUTH 199 STREET, GRETNA, NE 68028-6986
- **Practice address phone:** (402) 676-1145
- **Mailing address:** 7125 SOUTH 199 STREET, GRETNA, NE 68028-6986
- **Mailing address phone:** (402) 676-1145

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 111529 | NE | Yes |

## Other

- **Enumeration date:** 12/20/2017
- **Last updated:** 12/20/2017