Individual
CRYSTAL VINAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPNP
Contact information
Practice address
12050 PACIFIC ST, OMAHA, NE 68154-3507
(402) 614-4969
Mailing address
12050 PACIFIC ST, OMAHA, NE 68154-3507
(402) 614-4969
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
113369
NE
Other
Enumeration date
10/23/2018
Last updated
11/21/2024
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