Individual
MARTHA DE LOS ANGELES DAWICZYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
104 CONCORD CIR, PAPILLION, NE 68046-4140
(860) 726-3879
Mailing address
104 CONCORD CIR, PAPILLION, NE 68046-4140
(860) 726-3879
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
114931
NE
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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