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NPI Code Detail

MEDICARE: NANCYE D HASIAK APRN-C

MEDICARE:   NANCYE D HASIAK  APRN-C
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
1363L00000XNurse Practitioner32331NE
2363L00000XNurse Practitioner110292NE
3363L00000XNurse PractitionerA101261IA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952300451
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCYE D HASIAK APRN-C
Provider Business Mailing Address
First Line : 16909 LAKESIDE HILLS CT
Second Line : LAKESIDE PROF CTR N STE 200
City : OMAHA
State : NE
Zip : 68130-2318
Country : US
Telephone Number : 402-571-5323
Fax Number : 402-571-2495
Provider Business Practice Location Address
First Line : 16909 LAKESIDE HILLS CT
Second Line : LAKESIDE PROF CTR N STE 200
City : OMAHA
State : NE
Zip : 68130-2318
Country : US
Telephone Number : 402-571-5323
Fax Number : 402-571-2495
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2005
Last Update Date : 10/25/2012

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Directions to “ NANCYE D HASIAK APRN-C” Practice Location

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