Individual
MS. LUCINDA JEAN HEAVICAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN NP-C
Contact information
Practice address
16101 EVANS ST, OMAHA, NE 68116
(402) 717-9797
Mailing address
7261 MERCY RD, OMAHA, NE 68124-2311
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
111026
NE
363LF0000X
Family Nurse Practitioner
A154344
IA
Other
Enumeration date
06/30/2009
Last updated
04/18/2019
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