Individual
ERICA RENAE NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
955 N 28TH AVE, OMAHA, NE 68131-1503
(402) 570-4673
Mailing address
955 N 28TH AVE, OMAHA, NE 68131-1503
(402) 570-4673
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
06/24/2025
Last updated
06/24/2025
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