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Individual

CATHERINE ANN PALLAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1021 N 27TH ST, LINCOLN, NE 68503-1803
(402) 476-1455
(402) 476-1670
Mailing address
2301 O ST, SUITE 2, LINCOLN, NE 68510-1124
(402) 476-1455
(402) 476-1670

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
110111
NE
363LF0000X
Family Nurse Practitioner
110111
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025024300
NE
05
10025024400
NE
05
10026451700
NE
05
10026466400
NE
05
10026476700
NE
05
10026494200
NE
Enumeration date
03/19/2007
Last updated
05/23/2016
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