Individual
MRS. DANIKA PAULINE DIZMANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
333 MAPLE ST, SUTHERLAND, NE 69165-3000
(308) 386-4799
Mailing address
1303 E 3RD ST, OGALLALA, NE 69153-2833
(308) 520-6095
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
113685
NE
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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