Individual
APRIL C CHISM-LYTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7328 N 85TH ST, OMAHA, NE 68122-1488
(402) 212-8087
Mailing address
7328 N 85TH ST, OMAHA, NE 68122-1488
(402) 212-8087
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
22944
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9906120
—
NE
Enumeration date
09/12/2020
Last updated
09/12/2020
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