Individual
DANIEL WAYNE TINNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1105 EDGEWATER DR, PAPILLION, NE 68046-3229
(402) 980-0705
Mailing address
1105 EDGEWATER DR, PAPILLION, NE 68046-3229
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
11/24/2025
Last updated
11/24/2025
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