Individual
TRAVEN HAUK TILDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
420 VICTORY PARK DR, LINCOLN, NE 68510-2484
(402) 489-3802
Mailing address
420 VICTORY PARK DR, LINCOLN, NE 68510-2484
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
28361
NE
Other
Enumeration date
08/01/2025
Last updated
08/01/2025
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