Individual
ROSANN C NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
17675 WELCH PLZ, OMAHA, NE 68135-3551
(402) 354-7600
(402) 435-4075
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-2155
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
24036
NE
2080P0203X
Pediatric Critical Care Medicine Physician
31225
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025464000
—
NE
05
—
1982631719
—
IA
05
—
47068731785
—
NE
Enumeration date
06/27/2006
Last updated
09/10/2018
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