Individual
MAKAELA WADDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4350 DEWEY AVE, OMAHA, NE 68105-1017
(402) 536-9460
Mailing address
4350 DEWEY AVE, OMAHA, NE 68105-1017
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
84263
NE
363LA2100X
Acute Care Nurse Practitioner
Primary
114293
NE
Other
Enumeration date
05/16/2022
Last updated
07/20/2022
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