Individual
NICHOLAS JAMES EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15905 DEWEY CIR, OMAHA, NE 68118-2148
(402) 990-5203
Mailing address
15905 DEWEY CIR, OMAHA, NE 68118-2148
(402) 990-5203
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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