Individual
LESLIE IRENE DVORAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4905 S 107TH AVE, OMAHA, NE 68127-1965
(402) 243-1526
(877) 684-6190
Mailing address
4905 S 107TH AVE, OMAHA, NE 68127-1965
(402) 243-1526
(877) 684-6190
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
111477
NE
363LW0102X
Women's Health Nurse Practitioner
Primary
111477
NE
Other
Enumeration date
10/27/2005
Last updated
11/07/2023
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