Individual
DR. VICKI A. HERRMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7205 W CENTER RD STE 104, OMAHA, NE 68124
(402) 392-7684
(531) 355-0001
Mailing address
555 N 30TH ST, OMAHA, NE 68131-2136
(402) 280-8100
(402) 280-8103
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20322
NE
208000000X
Pediatrics Physician
MD-14375
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47068937213
—
NE
05
—
521732
—
IA
01
—
554
BCBS
NE
01
—
96916
BCBS
IA
01
—
9738
MIDLANDS CHOICE
NE
01
—
MD-14375
MD LIC
HI
Enumeration date
10/04/2006
Last updated
06/18/2018
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