Individual
DR. NICOLE M NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
2412 CUMING ST STE 200, OMAHA, NE 68131-1604
(402) 717-0380
(402) 717-0659
Mailing address
2412 CUMING ST STE 200, OMAHA, NE 68131-1604
(708) 269-9389
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
17717
NE
1835P2201X
Ambulatory Care Pharmacist
74119
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10301
ADVANCED PRACTICE PHARMACIST
CA
01
—
17717
DEPARTMENT OF HEALTH AND HUMAN SERVICES
NE
01
—
74119
RPH
CA
Enumeration date
08/22/2014
Last updated
03/27/2025
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