Individual
CRISTA LATIMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-NP
Contact information
Practice address
8200 DODGE ST, OMAHA, NE 68114-4113
(402) 955-6230
Mailing address
12025 N 225TH ST, VALLEY, NE 68064-6407
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
111859
NE
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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