Individual
STEVEN DONAHUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1511 FARNAM ST, 110, OMAHA, NE 68102-2228
(402) 612-4728
Mailing address
1511 FARNAM ST, 110, OMAHA, NE 68102-2228
(402) 612-4728
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
H13581397
NE
175T00000X
Peer Specialist
—
NE
376K00000X
Nurse's Aide
Primary
119512
NE
Other
Enumeration date
07/22/2016
Last updated
07/22/2016
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