Individual
DIANE T. MILLEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3612 CUMING ST, OMAHA, NE 68131-1952
(402) 354-3198
(402) 354-3199
Mailing address
PO BOX 2797, OMAHA, NE 68103-2797
(402) 354-4230
(402) 354-6171
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
110168
NE
363L00000X
Nurse Practitioner
29208
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47037660411
—
NE
Enumeration date
03/06/2007
Last updated
12/17/2013
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