Individual
KRISTEE NASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13021 PATRICK CIR, OMAHA, NE 68164-3937
(402) 359-7731
Mailing address
13021 PATRICK CIR, OMAHA, NE 68164-3937
(402) 359-7731
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45340940
—
NE
Enumeration date
09/19/2016
Last updated
09/19/2016
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