Individual
LISA MICHELLE NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15966 HOWARD ST, OMAHA, NE 68118-2158
(402) 305-4687
Mailing address
15966 HOWARD ST, OMAHA, NE 68118-2158
(402) 305-4687
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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