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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