Organization
PEDXM, PC
Active
Other names
Nebraska Home Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN E THOMAN APRN (OWNER)
(402) 676-1145
Entity
Organization
Contact information
Practice address
7125 SOUTH 199 STREET, GRETNA, NE 68028-6986
(402) 676-1145
Mailing address
7125 SOUTH 199 STREET, GRETNA, NE 68028-6986
(402) 676-1145
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
111529
NE
Other
Enumeration date
12/20/2017
Last updated
12/20/2017
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