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NPI Code Detail

MEDICARE: STEPHANIE NIMMER

MEDICARE: STEPHANIE NIMMER
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
1372500000XChore Provider

General Provider Information

NPI Number : 1891581146
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE NIMMER
Provider Business Mailing Address
First Line : 2717 S 88TH ST
Second Line :
City : OMAHA
State : NE
Zip : 68124-3048
Country : US
Telephone Number : 402-614-0413
Fax Number : 402-315-3784
Provider Business Practice Location Address
First Line : 2717 S 88TH ST
Second Line :
City : OMAHA
State : NE
Zip : 68124-3048
Country : US
Telephone Number : 402-614-0413
Fax Number : 402-315-3784
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2025
Last Update Date : 04/15/2025

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Directions to “ STEPHANIE NIMMER ” Practice Location

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