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Individual

DR. NATHAN PENNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
16909 BURKE ST, STE 200, OMAHA, NE 68118-2268
(402) 333-8856
(402) 333-3428
Mailing address
16909 BURKE ST, STE 200, OMAHA, NE 68118-2268
(402) 333-8856
(402) 333-8856

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
364
NE
213ES0103X
Foot & Ankle Surgery Podiatrist
36.003511
OH
213ES0103X
Foot & Ankle Surgery Podiatrist
364
NE
213ES0103X
Foot & Ankle Surgery Podiatrist
PO3391
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10026641100
NE
05
47074840507
NE
Enumeration date
03/13/2009
Last updated
03/10/2022
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