Organization
GERALDINE NESVAN M.A.P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GERALDINE A NESVAN M.A.P.C. (PRESIDENT)
(402) 493-4444
Entity
Organization
Contact information
Practice address
10506 BURT CIR, OMAHA, NE 68114-2094
(402) 493-4444
(402) 493-1550
Mailing address
10506 BURT CIR, OMAHA, NE 68114-2094
(402) 493-4444
(402) 493-1550
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
101
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08189
BCBS
—
Enumeration date
06/23/2009
Last updated
12/28/2010
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