DIVERSIFIED MOBILE PT LLC

OMAHA, NE
NPI1164289880
Entity TypeOrganization
Authorized ContactNICOLE KRISTINE DICKMEYER
Owner
402-317-9120
Organization Subpart ?No
Primary Taxonomy363L00000X Nurse Practitioner
Enumeration Date2024-02-29
Last Update Date2026-04-28
Business Address
DIVERSIFIED MOBILE PT LLC
5114 N 137TH ST
OMAHA, NE 68164-6191
Phone number: 402-819-7956
Mailing Address
DIVERSIFIED MOBILE PT LLC
5114 N 137TH ST
OMAHA, NE 68164-6191
Phone number: 402-819-7956