# NEBRASKA PEDIATRIC PRACTICE, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275287393
- **Authorized official:** AMY HATCHER (EXECUTIVE VICE PRESIDENT)
- **Authorized official phone:** (402) 955-6795

## Contact information

- **Practice address:** 8552 CASS ST, CHILDRENS ENDOCRINOLOGY DIABETES EDUCATION PROGRAM, OMAHA, NE 68114-3567
- **Practice address phone:** (402) 955-3871
- **Practice address fax:** (402) 955-8738
- **Mailing address:** 8552 CASS ST, CHILDRENS ENDOCRINOLOGY DIABETES EDUCATION PROGRAM, OMAHA, NE 68114-3567
- **Mailing address phone:** (402) 955-3871
- **Mailing address fax:** (402) 955-8738

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133NN1002X | Nutrition Education Nutritionist | — | NULL | Yes |
| 133NN1002X | Nutrition Education Nutritionist | — | — | Yes |

## Other

- **Enumeration date:** 02/08/2022
- **Last updated:** 02/21/2022