Thies, Nichole

Thies, Nichole is an individual health care provider with primary practice located at 13808 W Maple Rd , Omaha NE 68164. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Thies, Nichole can be contacted via phone (402) 955-3000.

Contact Information

Primary practice address
13808 W Maple Rd Omaha NE 68164
Phone: (402) 955-3000
Fax: (402) 955-7055
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 110994 Nebraska

Profile Details

NPI number 1629175682
LBN Legal business name Thies, Nichole
Credentials APRN-NP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Mar 29th, 2010 - about 14 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 1629175682 NPPES
Nebraska MEDICAID 10025113100

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