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Individual

TABITHA NENNINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1115 SE 164TH AVE DEPT 358, VANCOUVER, WA 98683-8004
(402) 936-1109
Mailing address
3710 S 96TH ST, OMAHA, NE 68124-3736
(402) 936-1109

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
26659
NE
208000000X
Pediatrics Physician
Primary
26659
NE

Other

Enumeration date
07/16/2008
Last updated
08/30/2016
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