Healthcare Provider Details

I. General information

NPI: 1689179921
Provider Name (Legal Business Name): CAMIE L NITZEL, PHD LP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2018
Last Update Date: 02/12/2020
Certification Date: 02/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8001 S 15TH STE C
LINCOLN NE
68512-5963
US

IV. Provider business mailing address

8001 S 15TH STE C
LINCOLN NE
68512
US

V. Phone/Fax

Practice location:
  • Phone: 402-483-7900
  • Fax: 402-483-7971
Mailing address:
  • Phone: 402-483-7900
  • Fax: 402-483-7971

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number956
License Number StateNE

VIII. Authorized Official

Name: DR. CAMIE LYNN NITZEL
Title or Position: PSYCHOLOGIST/OWNER
Credential: PHD LP
Phone: 402-483-7900