NICOLLE LYNETTE PETERSON

OMAHA, NE
NPI1063709715
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: NE  1647)
Additional Taxonomies207Q00000X Family Medicine
(Licence: IN  11016297A)
207R00000X Internal Medicine
(Licence: FL  OS13016)
208M00000X Hospitalist
(Licence: FL  OS13016)
Enumeration Date2011-07-01
Last Update Date2017-08-15
Business Address
-- NICOLLE LYNETTE PETERSON DO
EMILE AT 42ND ST
OMAHA, NE 68198-3406
Phone number: 402-552-6731
Mailing Address
-- NICOLLE LYNETTE PETERSON DO
988102 NEBRASKA MEDICAL CTR
OMAHA, NE 68198-8102
Phone number: