Individual
MRS. KATHLEEN DEGUZMAN YAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
7308 S 142ND ST, OMAHA, NE 68138-6804
(402) 717-4200
Mailing address
19316 J ST, OMAHA, NE 68135-3763
(712) 490-1230
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
64983
NE
363L00000X
Nurse Practitioner
Primary
111181
NE
363LW0102X
Women's Health Nurse Practitioner
111181
NE
Other
Enumeration date
08/01/2011
Last updated
08/01/2011
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