Individual
NICOLE L TJADEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 WEST 1ST STREET, OGALLALA, NE 69153-2412
(308) 284-6767
(308) 284-3084
Mailing address
401 WEST 1ST STREET, OGALLALA, NE 69153-2412
(308) 284-6767
(308) 284-3084
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/05/2012
Last updated
09/06/2012
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