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Individual

MRS. MELANIE KARIS HOUSEHOLDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
201 CAPITOL BEACH BLVD STE 1A, LINCOLN, NE 68528-1645
(402) 435-0228
(402) 435-0229
Mailing address
201 CAPITOL BEACH BLVD STE 1A, LINCOLN, NE 68528-1645
(402) 435-0228
(402) 435-0229

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
110750
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025531400
NE
05
10025651900
NE
05
10025817200
NE
01
253467
MIDLANDS CHOICE
NE
01
39363
BCBS
NE
01
N/A
COVENTRY
NE
01
P00686227
RAILROAD MEDICARE
NE
Enumeration date
11/26/2007
Last updated
05/11/2012
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