Individual
NICOLE WEEDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2206 LONGO DR, BELLEVUE, NE 68005-2901
(402) 292-9170
Mailing address
3919 L ST, OMAHA, NE 68107-1164
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2441
NE
Other
Enumeration date
06/30/2020
Last updated
06/30/2020
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