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Individual

TARA LEIGH LIVINGSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-NP FNP-C

Contact information

Practice address
2805 S 88TH ST STE 101, OMAHA, NE 68124-3065
(402) 390-0555
(402) 926-4793
Mailing address
14040 S 108TH ST, SPRINGFIELD, NE 68059-5847
(402) 660-5952

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
115175
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
115175
APRN-NP
NE
Enumeration date
01/11/2024
Last updated
01/11/2024
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