Individual
MICHAELA JUNE HADDOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8901 W DODGE RD STE 250, OMAHA, NE 68114-3300
(402) 354-2000
(402) 354-8645
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-2155
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
81706
NE
363L00000X
Nurse Practitioner
Primary
115456
NE
363LF0000X
Family Nurse Practitioner
115456
NE
Other
Enumeration date
05/08/2024
Last updated
09/30/2024
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