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NPI Code Detail

MEDICARE: NICOLE R CONNER LIMHP

MEDICARE: NICOLE R CONNER LIMHP
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
1101YM0800XMental Health Counselor1462NE

General Provider Information

NPI Number : 1740486174
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE R CONNER LIMHP
Provider Business Mailing Address
First Line : 28627 JESSIE CIR
Second Line :
City : VALLEY
State : NE
Zip : 68064-1688
Country : US
Telephone Number : 402-578-3498
Fax Number :
Provider Business Practice Location Address
First Line : 1941 S 42ND ST STE 328
Second Line :
City : OMAHA
State : NE
Zip : 68105-2943
Country : US
Telephone Number : 402-614-4444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2007
Last Update Date : 02/12/2024

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Directions to “ NICOLE R CONNER LIMHP” Practice Location

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