Individual
MISTY NICOLE WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2907 N 45TH ST, OMAHA, NE 68104-4520
(402) 880-2936
Mailing address
2907 N 45TH ST, OMAHA, NE 68104-4520
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
01/31/2025
Last updated
01/31/2025
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