Organization
PRIDE HEALTH CLINIC LLC
Active
Organization
PRIDE HEALTH CLINIC LLC
Active
Other names
Pride Care For All LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE DVORAK APRN (OWNER)
(505) 850-2544
Entity
Organization
Contact information
Practice address
4905 S 107TH AVE # 100, OMAHA, NE 68127-1965
(402) 243-1526
(877) 684-6190
Mailing address
7435 LEAWOOD ST, PAPILLION, NE 68046-4227
(505) 850-2544
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/10/2022
Last updated
07/11/2023
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