Individual
NICOLE N HARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8200 DODGE ST, OMAHA, NE 68114-4113
(402) 955-3450
Mailing address
8200 DODGE ST, OMAHA, NE 68114-4113
(402) 955-3450
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
33602
NE
207NP0225X
Pediatric Dermatology Physician
Primary
33602
NE
207NP0225X
Pediatric Dermatology Physician
A133065
CA
Other
Enumeration date
04/16/2013
Last updated
08/12/2021
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