Individual
MS. DIANE LYNN KOCOVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
14080 HOSPITAL RD, BOYS TOWN, NE 68010-7513
(402) 778-6900
(402) 778-6917
Mailing address
555 N 30TH ST, OMAHA, NE 68131-2136
(402) 498-6509
(402) 498-6357
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
110623
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100253323-00
—
NE
01
—
38843
BCBS
NE
Enumeration date
12/26/2006
Last updated
02/14/2013
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