Individual
NICHOLE ASHLEY HEPPNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1321 S 172ND ST, OMAHA, NE 68130-1127
(402) 460-9893
Mailing address
1321 S 172ND ST, OMAHA, NE 68130-1127
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1040375
IA
133V00000X
Registered Dietitian
Primary
1040375
NE
Other
Enumeration date
07/14/2017
Last updated
07/14/2017
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