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Individual

AMY K PRICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
16910 FRANCES ST, OMAHA, NE 68130-2368
(402) 505-8777
(402) 933-7767
Mailing address
16910 FRANCES ST, OMAHA, NE 68130-2368
(402) 505-8777
(402) 933-7767

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
1581
NE
363A00000X
Physician Assistant
Primary
1581
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100263840-00
NE
05
1497182273
IA
01
PENDING
RR MEDICARE
IA
01
PENDING
RR MEDICARE
NE
Enumeration date
02/14/2011
Last updated
02/24/2022
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