Individual
MARK NUISMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2623 N 191ST AVE, ELKHORN, NE 68022-2933
(402) 657-3293
Mailing address
2623 N 191ST AVE, ELKHORN, NE 68022-2933
(402) 657-3293
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
10/13/2025
Last updated
10/13/2025
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