Individual
NICOLE JO DYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6818 GROVER ST, OMAHA, NE 68106-3640
(402) 390-2492
Mailing address
3305 S 90TH AVE, OMAHA, NE 68124-2910
(402) 201-7891
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
111487
NE
Other
Enumeration date
07/31/2013
Last updated
09/28/2018
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