Organization
BREASTFEEDING SUPPORT & SUPPLIES OF OMAHA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE ANNETTE ERDMANN RN (CERTIFIED LACTATION CONSULTANT)
(402) 707-1696
Entity
Organization
Contact information
Practice address
6017 S 167TH CIR, OMAHA, NE 68135-2393
(402) 707-1696
(402) 932-8581
Mailing address
6017 S 167TH CIR, OMAHA, NE 68135-2393
(402) 707-1696
(402) 932-8581
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
29841
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025817000
—
NE
Enumeration date
02/11/2008
Last updated
03/19/2012
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