Individual
NIOTA I MEINECKE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
304 E DOUGLAS ST, ONEILL, NE 68763-1830
(402) 336-4222
(402) 336-4228
Mailing address
304 E DOUGLAS ST, ONEILL, NE 68763-1830
(402) 336-4222
(402) 336-4228
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
173
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025080400
—
NE
Enumeration date
08/16/2005
Last updated
07/08/2007
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