Individual
NICOLE M ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6901 N 72ND ST, OMAHA, NE 68122-1709
(855) 524-4001
(402) 572-3206
Mailing address
6901 N 72ND ST, OMAHA, NE 68122-1709
(855) 524-4001
(402) 572-3206
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
112598
NE
363LF0000X
Family Nurse Practitioner
A152803
IA
Other
Enumeration date
08/23/2018
Last updated
10/03/2018
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