Individual
NICOLE M PRIVITERA
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
7261 MERCY RD, OMAHA, NE 68124-2311
14023986255
(402) 829-8513
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
112312
NE
Other
Enumeration date
08/18/2017
Last updated
08/18/2017
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