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NPI Code Detail

MEDICARE: MS. NICHOLE R BONACCI-LEMAY RN, BSN

MEDICARE:  MS. NICHOLE R BONACCI-LEMAY  RN, BSN
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
1163WS0200XSchool Registered Nurse60416NE

General Provider Information

NPI Number : 1588146518
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. NICHOLE R BONACCI-LEMAY RN, BSN
Provider Business Mailing Address
First Line : 3802 REDICK AVE
Second Line :
City : OMAHA
State : NE
Zip : 68112-2966
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3802 REDICK AVE
Second Line :
City : OMAHA
State : NE
Zip : 68112-2966
Country : US
Telephone Number : 531-299-2441
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2018
Last Update Date : 08/26/2025

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Directions to “ MS. NICHOLE R BONACCI-LEMAY RN, BSN” Practice Location

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