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NPI Code Detail

MEDICARE: NATHAN WOLF

MEDICARE: NATHAN WOLF
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1134924483
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATHAN WOLF
Provider Business Mailing Address
First Line : 8922 CUMING ST
Second Line :
City : OMAHA
State : NE
Zip : 68114-2732
Country : US
Telephone Number : 402-926-4373
Fax Number :
Provider Business Practice Location Address
First Line : 2320 S 48TH ST STE 101
Second Line :
City : LINCOLN
State : NE
Zip : 68506-5513
Country : US
Telephone Number : 402-218-4667
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2025
Last Update Date : 01/12/2026

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Directions to “ NATHAN WOLF ” Practice Location

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