Individual
PETRA F LINCOLN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE AIDE
Contact information
Practice address
11306 DAVENPORT ST, OMAHA, NE 68154-2630
(402) 884-1645
Mailing address
238 HIGH SCHOOL AVE, COUNCIL BLUFFS, IA 51503-6648
(712) 314-3842
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
07/10/2025
Last updated
07/10/2025
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