Individual
MICHELLE PAVLISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
13315 W CENTER RD, OMAHA, NE 68144-3449
(402) 717-9400
Mailing address
7261 MERCY RD, OMAHA, NE 68124-2311
(402) 717-9400
(402) 717-9401
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
111842
NE
Other
Enumeration date
08/13/2015
Last updated
11/06/2017
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