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Individual

DAWN M NOKELS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
8005 FARNAM DR, SUITE 204, OMAHA, NE 68114-3426
(402) 502-6970
(402) 502-6930
Mailing address
8005 FARNAM DR, SUITE 204, OMAHA, NE 68114-3426
(402) 502-6970
(402) 502-6930

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
661
NE
363A00000X
Physician Assistant
Primary
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
661
NE LICENSE
NE
Enumeration date
05/11/2006
Last updated
10/20/2015
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