Individual
KACY E WALTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
16909 LAKESIDE HILLS CT STE 400, OMAHA, NE 68130-4661
(402) 758-5850
(402) 758-5855
Mailing address
7261 MERCY RD, OMAHA, NE 68124-2311
(402) 398-6248
(402) 829-8513
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
113646
NE
Other
Enumeration date
05/20/2021
Last updated
07/01/2021
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