Individual
SIMONE YAMDAARE REDBOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11348 TAYLOR ST, OMAHA, NE 68164-2341
(402) 612-7725
Mailing address
11348 TAYLOR ST, OMAHA, NE 68164-2341
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
112766
NE
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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