Individual
AMY B. HOULIHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
8021 CASS ST, OMAHA, NE 68114-3525
(402) 397-7057
(402) 397-6656
Mailing address
6606 N 114TH AVE, OMAHA, NE 68164-6821
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
L116238
IA
363LA2200X
Adult Health Nurse Practitioner
Primary
110767
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47077295213
—
NE
Enumeration date
07/13/2006
Last updated
11/03/2017
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