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Individual

DOROTHY HEFFERNAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
3300 N 60TH ST, OMAHA, NE 68104-3402
(402) 829-9267
Mailing address
3300 N 60TH ST, OMAHA, NE 68104-3402
(402) 829-9267

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
105466
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025225100
NE
05
47037661200
NE
Enumeration date
09/02/2014
Last updated
09/02/2014
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