Healthcare Provider Details

I. General information

NPI: 1548945751
Provider Name (Legal Business Name): NICHOLAS GABRIEL DUNNE DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2023
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7710 MERCY RD STE 202
OMAHA NE
68124-2353
US

IV. Provider business mailing address

7710 MERCY RD STE 202
OMAHA NE
68124-2353
US

V. Phone/Fax

Practice location:
  • Phone: 402-280-4119
  • Fax:
Mailing address:
  • Phone: 402-280-4119
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberDO-06957
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number3145
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: