Individual
DR. LAURA W. NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
110 N 175TH ST, SUITE 1000, OMAHA, NE 68118-3582
(402) 955-5437
(402) 955-7310
Mailing address
8401 W DODGE RD, SUITE 280, OMAHA, NE 68114-3451
(402) 955-6877
(402) 955-6880
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
18328
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31401
BCBS
NE
05
—
47068937201
—
NE
01
—
719
MIDLANDS CHOICE
NE
01
—
96451
BCBS
IA
05
—
986901
—
IA
Enumeration date
09/14/2006
Last updated
01/22/2013
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