MEDICARE: DAVIN FLATMO M.A.

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
1	171M00000X	Case Manager/Care Coordinator
2	101YM0800X	Mental Health Counselor	12407	NE

General Provider Information

NPI Number	:	1649776006
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVIN FLATMO M.A.

Provider Business Mailing Address
First Line	:	245 S 84TH ST STE L101
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68510-2601
Country	:	US
Telephone Number	:	402-417-0690
Fax Number	:	402-261-6319

Provider Business Practice Location Address
First Line	:	245 S 84TH ST STE L101
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68510-2601
Country	:	US
Telephone Number	:	402-417-0690
Fax Number	:	402-261-6319

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/04/2018
Last Update Date	:	12/05/2023

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Directions to “ DAVIN FLATMO M.A.” Practice Location

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