Individual
DYNASTI NICOLE LOVING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6715 OGDEN ST, OMAHA, NE 68104-1520
(402) 238-0454
Mailing address
6715 OGDEN ST, OMAHA, NE 68104-1520
(402) 238-0454
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
NE
372600000X
Adult Companion
—
NE
374U00000X
Home Health Aide
—
NE
376K00000X
Nurse's Aide
—
NE
Other
Enumeration date
04/10/2025
Last updated
04/10/2025
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