Individual
MICHAIAH L ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7710 MERCY RD, OMAHA, NE 68124-2372
(402) 384-2352
Mailing address
15029 E PLZ, OMAHA, NE 68137-1036
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
18825
NE
Other
Enumeration date
10/06/2009
Last updated
10/06/2009
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