Individual
EDEN WODAJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3801 W O ST, LINCOLN, NE 68528-1806
(402) 441-1900
Mailing address
1203 SHADOW MOSS DR, LINCOLN, NE 68521-8960
(402) 441-1900
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
113721
NE
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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