Individual
MOLLY BETH SKOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1520 S 70TH ST STE 200, LINCOLN, NE 68506-1566
(402) 464-9000
(402) 464-4447
Mailing address
4101 N 14TH ST, LINCOLN, NE 68521-1970
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
112248
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025716000
—
NE
Enumeration date
06/29/2017
Last updated
12/18/2017
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