Mahoney, Nicolle M

Mahoney, Nicolle M is an individual health care provider with primary practice located at 1500 S 48Th St Suite 508, Lincoln NE 68506-1225. She recently has only one registered license in Allopathic & Osteopathic Physicians / Reproductive Endocrinology, which is considered as her primary health care specialty. Mahoney, Nicolle M can be contacted via phone (402) 483-2886.

Contact Information

Primary practice address
1500 S 48Th St Suite 508 Lincoln NE 68506-1225
Phone: (402) 483-2886
Fax: (402) 489-9684
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Reproductive Endocrinology 207VE0102X 22805 Nebraska

Profile Details

NPI number 1255360491
LBN Legal business name Mahoney, Nicolle M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255360491 NPPES
Nebraska MEDICAID 4705966613

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