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Individual

JOSEPH DAVID PATACH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
7253 GROVER ST, OMAHA, NE 68124-3580
(402) 390-2492
Mailing address
7253 GROVER ST, OMAHA, NE 68124-3580
(402) 390-2492

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
112557
NE
363LG0600X
Gerontology Nurse Practitioner
112557
NE
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
112557
NE

Other

Enumeration date
08/20/2018
Last updated
03/06/2023
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