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NPI Code Detail

MEDICARE: MICHELLE M PLACEK

MEDICARE:   MICHELLE M PLACEK
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
1363LA2100XAcute Care Nurse Practitioner112842NE

General Provider Information

NPI Number : 1487295580
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE M PLACEK
Provider Business Mailing Address
First Line : PO BOX 247037
Second Line :
City : OMAHA
State : NE
Zip : 68124-7037
Country : US
Telephone Number : 402-955-5421
Fax Number : 402-955-6850
Provider Business Practice Location Address
First Line : 110 N 175TH ST STE 1000
Second Line :
City : OMAHA
State : NE
Zip : 68118-3581
Country : US
Telephone Number : 402-955-8300
Fax Number : 402-955-7310
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2019
Last Update Date : 02/02/2026

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Directions to “ MICHELLE M PLACEK ” Practice Location

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