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Individual

NISHAVINI RANPATABENDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
5045 S 153RD ST, OMAHA, NE 68137-5001
(402) 717-9100
Mailing address
7261 MERCY RD, OMAHA, NE 68124-2311

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
002434
IA
363A00000X
Physician Assistant
Primary
1755
NE

Other

Enumeration date
09/08/2013
Last updated
05/10/2023
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