Individual
HEATHER SPAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
555 N 30TH ST, OMAHA, NE 68131-2136
(531) 355-7300
Mailing address
555 N 30TH ST, OMAHA, NE 68131-2136
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
30811
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2014
Last updated
07/21/2022
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