Individual
DR. STEPHEN WALTER NISSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4101 WOOLWORTH AVE, OMAHA, NE 68105-1850
(402) 995-3890
Mailing address
4101 WOOLWORTH AVE, OMAHA, NE 68105-1850
(402) 995-3890
Taxonomy
Speciality
Code
Description
License number
State
1835C0205X
Critical Care Pharmacist
Primary
11240
NE
Other
Enumeration date
05/24/2016
Last updated
05/24/2016
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