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Individual

NICOLE C MCNAIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
16901 LAKESIDE HILLS CT, OMAHA, NE 68130-2318
(402) 717-8000
Mailing address
16901 LAKESIDE HILLS CT, OMAHA, NE 68130-2318

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
78385
NE
367500000X
Certified Registered Nurse Anesthetist
Primary
101529
NE

Other

Enumeration date
11/28/2018
Last updated
05/23/2024
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