Individual
STEPHANIE SUE NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LMNT
Contact information
Practice address
1905 S 123RD AVE, OMAHA, NE 68144-2769
(402) 690-1051
Mailing address
1905 S 123RD AVE, OMAHA, NE 68144-2769
(402) 690-1051
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1458
NE
Other
Enumeration date
12/05/2019
Last updated
12/05/2019
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