Individual
CEISHA DEITERING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4101 WOOLWORTH AVENUE, OMAHA, NE 68105
(402) 995-5838
Mailing address
16827 L CIRCLE, OMAHA, NE 68135
(402) 995-5838
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
68645
NE
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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