Individual
MRS. TIANNA MARIE HERMANDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN
Contact information
Practice address
1299 FARNAM ST, OMAHA, NE 68102-1880
(402) 401-2809
Mailing address
1299 FARNAM ST, OMAHA, NE 68102-1880
(402) 401-2809
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
66740
NE
163WR0400X
Rehabilitation Registered Nurse
66740
NE
Other
Enumeration date
10/19/2017
Last updated
10/19/2017
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