Individual
KRISTYN NELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1919 N 90TH ST, OMAHA, NE 68114-1316
(402) 391-2072
Mailing address
1919 N 90TH ST, OMAHA, NE 68114-1316
(402) 391-2072
(402) 391-2073
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14983
NE
Other
Enumeration date
03/08/2020
Last updated
03/08/2020
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