Individual
MRS. THERESA POELL SWOBODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11111 M ST, OMAHA, NE 68137-2378
(402) 504-4099
(502) 504-3929
Mailing address
3300 N 60TH ST, OMAHA, NE 68104-3402
(402) 554-0520
(402) 551-8797
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
42423
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092619
—
NE
Enumeration date
07/29/2011
Last updated
05/09/2013
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