Individual
CHELSEY M DIERKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1240 E 23RD ST, FREMONT, NE 68025-2411
(402) 815-7100
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/21/2019
Last updated
07/31/2023
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