Individual
HEATHER ANN LIVINGSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4101 WOOLWORTH AVE, OMAHA, NE 68105-1850
(866) 687-7382
Mailing address
9566 PARK DR APT 204, OMAHA, NE 68127-5211
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
22925
NE
Other
Enumeration date
04/29/2017
Last updated
04/29/2017
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