Healthcare Provider Details

I. General information

NPI: 1770423824
Provider Name (Legal Business Name): LINDSAY MICHELLE EYER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11810 NICHOLAS ST STE 102
OMAHA NE
68154-4453
US

IV. Provider business mailing address

11810 NICHOLAS ST STE 102
OMAHA NE
68154-4453
US

V. Phone/Fax

Practice location:
  • Phone: 402-401-4404
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number116746
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: