Individual
IVY NICOLE HASKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4014 LEAVENWORTH ST, OMAHA, NE 68105-1053
(402) 559-4075
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
32830
NE
208600000X
Surgery Physician
35126252
OH
Other
Enumeration date
04/06/2012
Last updated
12/31/2020
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