Healthcare Provider Details

I. General information

NPI: 1114305083
Provider Name (Legal Business Name): NICOLE MARIE AKERS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2015
Last Update Date: 09/09/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ESSENTIAL FAMILY MEDICINE 17520 WRIGHT ST SUITE #105
OMAHA NE
68130
US

IV. Provider business mailing address

17520 WRIGHT ST SUITE #105
OMAHA NE
68130
US

V. Phone/Fax

Practice location:
  • Phone: 402-991-5353
  • Fax:
Mailing address:
  • Phone: 402-991-5353
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number30569
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: