Individual
MRS. DINA MARIE WHITEAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4132 S 199TH CIR, OMAHA, NE 68135-3783
(402) 208-4585
Mailing address
4132 S 199TH CIR, OMAHA, NE 68135-3783
(402) 208-4585
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
111275
NE
363LF0000X
Family Nurse Practitioner
Primary
AP145348
TX
Other
Enumeration date
07/26/2011
Last updated
10/08/2020
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