Individual
NICOLE BAD MOCCASIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHW, CNA
Contact information
Practice address
1600 WINDHOEK DR, LINCOLN, NE 68512-1272
(531) 248-3030
Mailing address
1600 WINDHOEK DR, LINCOLN, NE 68512-1272
(531) 248-3030
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
113307
NE
Other
Enumeration date
02/10/2022
Last updated
02/10/2022
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