Individual
NIKI DEEDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3307 BARADA ST, FALLS CITY, NE 68355-2470
(402) 245-6582
Mailing address
2603 WILSON ST, FALLS CITY, NE 68355-1219
(402) 598-2335
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1617
NE
363AS0400X
Surgical Physician Assistant
APPLYING
—
Other
Enumeration date
11/28/2011
Last updated
07/22/2014
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