Individual
DIANE PELAN-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
750 E. 29TH ST., FREMONT, NE 68025
(402) 753-2900
(402) 753-2926
Mailing address
750 E. 29TH ST., FREMONT, NE 68025-2312
(402) 753-2900
(402) 753-2926
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
110604
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47081505113
—
NE
Enumeration date
10/18/2006
Last updated
07/08/2007
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